PROVIDENCE HEALTH & SERVICES OREGON
NPI 1003319724
Clinic/Center in Portland, OR
NPI Status: Active since March 09, 2018
Contact Information
5211 NE GLISAN ST BLDG C
PORTLAND, OR
ZIP 97213
Phone: (503) 215-6628
Fax: (503) 215-6240
NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.
Record update history: Jun 20, 2025, May 15, 2025, Mar 9, 2018 (3 updates tracked since 2018).
- Organization
- Clinic/Center
About PROVIDENCE HEALTH & SERVICES OREGON
This page provides the complete NPI Profile along with additional information for Providence Health & Services Oregon, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1003319724 assigned on March 2018. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Health & Services Oregon operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)
- NPI
- 1003319724
- Provider Name
- PROVIDENCE HEALTH & SERVICES OREGON
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 5211 NE GLISAN ST BLDG C PORTLAND, OR 97213
- Location Phone
- (503) 215-6628
- Location Fax
- (503) 215-6240
- Mailing Address
- PO BOX 31001 - 4180 PASADENA, CA 91110
- Mailing Phone
- (503) 215-6628
- Mailing Fax
- (503) 215-6240
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-09-2018
- Last Update Date
- 06-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
The mdpp beneficiary achieved at least 5% weight loss (wl) from his/her baseline weight in months 1-12 of the mdpp services period under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 5% weight
The mdpp beneficiary achieved at least 9% weight loss (wl) from his/her baseline weight in months 1-24 under the mdpp expanded model (em). this is a one-time payment available when a beneficiary first achieves at least 9% weight loss from baseline as measu
The MDPP Expanded Model is a program that rewards weight loss. If a participant loses at least 5% of their baseline weight within the first year of the program, they receive a one-time payment. This incentive is only available the first time a participant achieves this weight loss goal.
This service was performed 21 times for 21 patientsThe MDPP Expanded Model is a program that supports healthy weight loss. If you, as a participant, lose at least 9% of your initial weight within the first 24 months, a one-time payment is made. This achievement is measured and rewarded to encourage your continued progress.
This service was performed 11 times for 11 patientsReviews for PROVIDENCE HEALTH & SERVICES OREGON
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003319724, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003319724, enumerated as an "organization" on March 09, 2018.
The provider is located at 5211 NE GLISAN ST BLDG C PORTLAND, OR 97213 and the phone number is (503) 215-6628.
Clinic/Center with taxonomy code 261Q00000X.
