PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1013217975
Obstetrics & Gynecology in Portland, OR

NPI Status: Active since October 26, 2010

Contact Information

4805 NE GLISAN ST STE 11N
PORTLAND, OR
ZIP 97213
Phone: (503) 215-2075
Fax: (503) 215-2077

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  • Organization
  • Obstetrics & Gynecology

About PROVIDENCE HEALTH & SERVICES - OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, a women's health care provider established in Portland, Oregon operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1013217975 assigned on October 2010. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Enrollment)

NPI
1013217975
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4805 NE GLISAN ST STE 11N PORTLAND, OR 97213
Location Phone
(503) 215-2075
Location Fax
(503) 215-2077
Mailing Address
PO BOX 31001-4180 PASADENA, CA 91110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2010
Last Update Date
03-25-2026
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Women's health care providers like Providence Health & Services - Oregon treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENT
Authorized Official Phone
(425) 358-9786

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NPI 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 1013217975, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 2 → 4 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 4 + 1 + 1 + 4 + 9 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1013217975.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Nurse Practitioner (Gerontology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Oral & Maxillofacial Surgery
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Internal Medicine (Medical Oncology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Internal Medicine (Hematology & Oncology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Obstetrics & Gynecology (Gynecologic Oncology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Obstetrics & Gynecology (Gynecologic Oncology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Internal Medicine (Medical Oncology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Nurse Practitioner
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Radiology (Vascular & Interventional Radiology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Physician Assistant
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Nurse Practitioner (Family)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Nurse Practitioner (Gerontology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Internal Medicine (Hospice and Palliative Medicine)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Obstetrics & Gynecology
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Nurse Practitioner (Family)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Physician Assistant
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Oral Medicine
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Dentist (Orofacial Pain)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013217975, enumerated as an "organization" on October 26, 2010.

The provider is located at 4805 NE GLISAN ST STE 11N PORTLAND, OR 97213 and the phone number is (503) 215-2075.

Obstetrics & Gynecology with taxonomy code 207V00000X.