# OREGON ANESTHESIOLOGY GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477527786
- **Authorized official:** LORISSA ADDABBO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (503) 299-9906

## Contact information

- **Practice address:** 707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
- **Practice address phone:** (503) 299-9906
- **Practice address fax:** (503) 225-9002
- **Mailing address:** PO BOX 35147, \#1801, PORTLAND, OR 98124-5147
- **Mailing address phone:** (503) 299-9906
- **Mailing address fax:** (503) 225-9002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 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

- **Enumeration date:** 02/14/2006
- **Last updated:** 10/27/2025

## 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 |