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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1003223959
Internal Medicine in Hillsboro, OR

Active since July 11, 2014
18650 NW CORNELL RD, SUITE 212, HILLSBORO, OR 97124(503) 537-5900(503) 537-5959 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2025, May 5, 2025 (2 updates tracked since 2025).

About Providence Health & Services - Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1003223959), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Hillsboro, Oregon and active in the NPI registry since July 2014. The organization lists Donald Wayne Anderson, Asst Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1003223959
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address18650 NW CORNELL RD, SUITE 212Hillsboro, OR 97124-9208
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 537-5900
Fax(503) 537-5959
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Secretary For Enrollment · (425) 358-9786
Enumeration DateJuly 11, 2014
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1003223959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/CenterTaxonomy 261Q00000X
18650 NW CORNELL RD, Hillsboro, OR 97124
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Newberg Specialties At Tanasbourne

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,498

Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 609 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 56

Internal Medicine250
Family Practice212
Nurse Practitioner210
Hospitalist96
Neurology57
Obstetrics/Gynecology57
Physical Therapist in Private Practice54
Clinical Psychologist53
48 other specialties509

Nearest to this location (20)

See all 1,498
Yi-Huei Kang, MD
Internal Medicine
NPI 1528641545
10690 NE CORNELL RD STE 215
Hillsboro, OR 97124
(503) 216-5240
✔ PECOS✔ Accepts MedicareSame address
Brandon Bartlett, MD
Family Practice
NPI 1306580931
10670 NE CORNELL RD STE 201
Hillsboro, OR 97124
(503) 216-9300
✔ PECOSSame address
Hyrum Durtschi, D.O.
Family Practice
NPI 1841336633
10670 NE CORNELL RD STE 300
Hillsboro, OR 97124
(503) 216-9300
✔ PECOS✔ Accepts Medicare0.1 mi
Gabrielle Hendel, DO
Family Practice
NPI 1861885717
10670 NE CORNELL RD STE 101
Hillsboro, OR 97124
(503) 216-9360
✔ PECOS✔ Accepts Medicare0.1 mi
Christina Fyfe, FNP
Nurse Practitioner
NPI 1912002775
18610 NW CORNELL RD SUITE 101
Hillsboro, OR 97124
(503) 216-9360
✔ PECOS✔ Accepts Medicare0.1 mi
Michelle Hall, M.D.
Family Practice
NPI 1457337859
18610 NW CORNELL RD SUITE 300
Hillsboro, OR 97124
(503) 216-9300
✔ PECOS✔ Accepts Medicare0.1 mi
Hina Khan, MD
Family Practice
NPI 1912136011
18610 NW CORNELL RD STE 300
Hillsboro, OR 97124
(503) 216-9300
✔ PECOS✔ Accepts Medicare0.1 mi
Sreedevi Pitta, MD
Family Practice
NPI 1780631655
18610 NW CORNELL RD SUITE 300
Hillsboro, OR 97124
(503) 216-9300
✔ PECOS✔ Accepts Medicare0.1 mi
Vanessa Vanderpool, M.D.
Family Practice
NPI 1154555498
18610 NW CORNELL RD SUITE 101
Hillsboro, OR 97124
(503) 216-9360
✔ PECOS✔ Accepts Medicare0.1 mi
Traci Ackron, D.O.
Family Practice
NPI 1336588789
10670 NE CORNELL RD STE 300
Hillsboro, OR 97124
(503) 216-9300
✔ PECOS✔ Accepts Medicare0.1 mi
Siobhan Conley, FNP
Nurse Practitioner
NPI 1407811433
10670 NE CORNELL RD STE 101
Hillsboro, OR 97124
(503) 216-9360
✔ PECOS✔ Accepts Medicare0.1 mi
Sekou Ford, MD
Family Practice
NPI 1538138276
18610 NW CORNELL RD STE 101
Hillsboro, OR 97124
(503) 216-9360
✔ PECOS✔ Accepts Medicare0.1 mi
Lindsay Kuo, PSYD
Clinical Psychologist
NPI 1003305970
10670 NE CORNELL RD STE 300
Hillsboro, OR 97124
(503) 216-9300
✔ PECOS✔ Accepts Medicare0.1 mi
Seungeun Lee, PH.D
Clinical Psychologist
NPI 1184249161
10670 NE CORNELL RD STE 300
Hillsboro, OR 97124
(503) 216-9300
✔ PECOS✔ Accepts Medicare0.1 mi
Joeann Pansoy, NP
Nurse Practitioner
NPI 1679055594
10670 NE CORNELL RD STE 101
Hillsboro, OR 97124
(503) 215-9360
✔ PECOS✔ Accepts Medicare0.1 mi
Mary Stoddard, FNP-C
Nurse Practitioner
NPI 1811435373
10670 NE CORNELL RD STE 101
Hillsboro, OR 97124
(503) 216-9360
✔ PECOS✔ Accepts Medicare0.1 mi
Erica Hadley, MD
Pediatric Medicine
NPI 1134534928
10060 NE EVERGREEN PKWY
Hillsboro, OR 97124
(800) 813-2000
✔ PECOS0.5 mi
Mehdi Mirtorabi, MD
Internal Medicine
NPI 1679509111
2155 NW 173RD AVE SUITE 102
Beaverton, OR 97006
(503) 531-9990
✔ PECOS✔ Accepts Medicare0.8 mi
Nandish Dayal, FNP
Nurse Practitioner
NPI 1235665522
15640 NW LAIDLAW RD STE 102
Portland, OR 97229
(503) 764-0100
✔ PECOS✔ Accepts Medicare2.2 mi
Lori Gluck, MD
Family Practice
NPI 1225000334
15640 NW LAIDLAW RD SUITE 102
Portland, OR 97229
(503) 764-0100
✔ PECOS2.2 mi
See all 1,498 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1003223959. It was assigned to this organization in the NPPES registry on July 11, 2014. The provider is doing business as Providence Medical Group and Providence Medical Group Newberg Specialties at Tanasbourne.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 18650 NW Cornell Rd Suite 212, Hillsboro, OR 97124. The listed phone number is (503) 537-5900.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,498 clinicians in 56 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (250), Family Practice (212) and Nurse Practitioner (210). Of these, 1 practice at this address and 609 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.