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

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since October 26, 2010

4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213(503) 215-2075(503) 215-2077 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2026, Jun 20, 2025, May 16, 2025 (3 updates tracked since 2025).

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About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1013217975), doing business as Providence Gynecologic Oncology Clinic, is a healthcare organization registered as an obstetrics & gynecology in Portland, Oregon and active in the NPI registry since October 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1013217975

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address4805 NE GLISAN ST STE 11NPortland, OR 97213-2933

Mailing AddressPo Box 31001-4180Pasadena, CA 91110-4180

Phone(503) 215-2075

Fax(503) 215-2077

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateOctober 26, 2010

Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1013217975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

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.

Also ListedClinic/CenterTaxonomy 261Q00000X

4805 NE GLISAN ST STE 11N, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Gynecologic Oncology Clinic

Doing Business AsProvidence Medical Group

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, 136 practice at this address and 1,050 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

Rhezarie Mae Agtarap, NP-C

Nurse Practitioner

NPI 1023576659

4805 NE GLISAN ST STE 11N
Portland, OR 97213

(503) 215-1350

✔ PECOS✔ Accepts MedicareSame address

Oliver Arquero, MD

Internal Medicine

NPI 1962713776

4805 NE GLISAN ST STE BG05
Portland, OR 97213

(503) 215-2392

✔ PECOS✔ Accepts MedicareSame address

Josie Banks, RDN

Registered Dietitian or Nutrition Professional

NPI 1578185559

4805 NE GLISAN ST STE 6N40
Portland, OR 97213

(844) 987-0491

Same address

Nikhil Batra, MD

Family Practice

NPI 1205091576

4805 NE GLISAN ST STE BG05
Portland, OR 97213

(503) 215-2392

✔ PECOS✔ Accepts MedicareSame address

Richard Bell, MD, DDS

Maxillofacial Surgery

NPI 1992704878

4805 NE GLISAN ST STE 11N
Portland, OR 97213

(503) 215-3053

✔ PECOS✔ Accepts MedicareSame address

Lauren Cooper, MD

Hospitalist

NPI 1497833578

4805 NE GLISAN ST SUITE BG05
Portland, OR 97213

(503) 215-2392

✔ PECOS✔ Accepts MedicareSame address

Brendan Curti, MD

Medical Oncology

NPI 1861494650

4805 NE GLISAN ST 6N40
Portland, OR 97213

(530) 215-5696

✔ PECOS✔ Accepts MedicareSame address

Christopher Darus, MD

Gynecological Oncology

NPI 1912026600

4805 NE GLISAN ST STE 11N
Portland, OR 97213

(503) 215-2075

✔ PECOS✔ Accepts MedicareSame address

Joe-La Dewitt, D.O.

Obstetrics/Gynecology

NPI 1245400571

4805 NE GLISAN ST UNIT 3K
Portland, OR 97213

(503) 215-6150

✔ PECOS✔ Accepts MedicareSame address

Hasnain Hasham, M.D.

Diagnostic Radiology

NPI 1336568369

4805 NE GLISAN ST STE 11N
Portland, OR 97213

(503) 215-8650

✔ PECOS✔ Accepts MedicareSame address

Nicoleta Voian, MD MPH

Preventive Medicine

NPI 1417191081

4805 NE GLISAN ST STE 6N50
Portland, OR 97213

(503) 215-7901

✔ PECOS✔ Accepts MedicareSame address

Austen Brown, M.D.

Emergency Medicine

NPI 1689094583

4805 NE GLISAN ST
Portland, OR 97213

(503) 215-1111

✔ PECOS✔ Accepts MedicareSame address

William Chapin, MD

Endocrinology

NPI 1083653679

4805 NE GLISAN ST STE 6N40
Portland, OR 97213

(503) 215-6601

✔ PECOS✔ Accepts MedicareSame address

John Creasy, MD

Surgical Oncology

NPI 1336415140

4805 NE GLISAN ST STE 11N
Portland, OR 97213

(503) 215-8650

✔ PECOS✔ Accepts MedicareSame address

Daniel Davila Bradley, M.D.

General Surgery

NPI 1245587823

4805 NE GLISAN ST STE 6N60
Portland, OR 97213

(503) 935-8379

✔ PECOS✔ Accepts MedicareSame address

Fikayo Falodun, MD

Psychiatry

NPI 1467030932

4805 NE GLISAN ST
Portland, OR 97213

(503) 215-6199

✔ PECOS✔ Accepts MedicareSame address

Rachel Hample, DMD

Dentist

NPI 1710730601

4805 NE GLISAN ST STE 11N
Portland, OR 97213

(503) 215-1676

✔ PECOS✔ Accepts MedicareSame address

Heidi Hansen, D.M.D.

Oral Medicinist

NPI 1063655967

4805 NE GLISAN ST STE 11N
Portland, OR 97213

(503) 215-1676

✔ PECOS✔ Accepts MedicareSame address

Christina Hoppe, PSYD

Clinical Psychologist

NPI 1942634134

4805 NE GLISAN ST STE 6N40
Portland, OR 97213

(503) 215-7230

✔ PECOS✔ Accepts MedicareSame address

Rui Li, M.D., PH.D

Hematology/Oncology

NPI 1689871535

4805 NE GLISAN ST SUITE 6N40
Portland, OR 97213

(503) 215-5696

✔ PECOS✔ Accepts MedicareSame address

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 1013217975. It was assigned to this organization in the NPPES registry on October 26, 2010. The provider is doing business as Providence Gynecologic Oncology Clinic and Providence Medical Group.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 4805 NE Glisan St Ste 11N, Portland, OR 97213. The listed phone number is (503) 215-2075.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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, 136 practice at this address and 1,050 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 March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.