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Organization
OREGON ANESTHESIOLOGY GROUP PC
Active
Organization
OREGON ANESTHESIOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORISSA ADDABBO (CHIEF EXECUTIVE OFFICER)
(503) 299-9906
Entity
Organization
Contact information
Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, PORTLAND, OR 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
NULL
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
NULL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054544
—
OR
05
—
1477527786
—
ID
05
—
1477527786
—
MT
05
—
200892280
—
IN
05
—
4174372 00
—
MD
05
—
7301542
—
WA
01
—
CS6612
RR MEDICARE
OR
Enumeration date
02/14/2006
Last updated
10/27/2025
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