PROVIDENCE HEALTH & SERVICES OREGON
NPI 1043366172
Internal Medicine - Hospice and Palliative Medicine in Portland, OR

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

The NPI number for Providence Health & Services Oregon is 1043366172. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Providence Connections Medical Group.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Active since January 25, 2007

6410 NE HALSEY ST, SUITE 300, PORTLAND, OR 97213(503) 215-4691 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 16, 2025, Nov 20, 2024, Nov 21, 2023 and 1 more (4 updates tracked since 2020).

On this page

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1043366172), doing business as Providence Connections Medical Group, is a healthcare organization registered as a hospice and palliative medicine in Portland, Oregon and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Beaverton and lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1043366172

Entity TypeOrganization

Primary Taxonomy207RH0002X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address6410 NE HALSEY ST, SUITE 300Portland, OR 97213-4749

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 215-4691

Organization SubpartNo

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

Enumeration DateJanuary 25, 2007

Last NPPES UpdateMay 16, 20254 updates tracked since enumeration

NPPES CertifiedMay 16, 2025

✔ NPI 1043366172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedClinic/CenterTaxonomy 261Q00000X

6410 NE HALSEY ST, Portland, OR 97213

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Other Names 1

Doing Business AsProvidence Connections Medical Group

Secondary Practice Location 1

Location 13601 SW Murray Blvd Ste 130Beaverton, OR 97005-2354 · Phone (503) 215-2669

Other Identifiers 1

Medicaid247685OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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

Medicare enrollment records show 22 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Hospice/Palliative Care9

Nurse Practitioner6

Internal Medicine4

Clinical Social Worker3

Nearest to this location (20)

See all 22

Frances Derook, M.D.

Hospice/Palliative Care

NPI 1922098060

6410 NE HALSEY ST STE 600
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Amanda Giese, LCSW

Clinical Social Worker

NPI 1790270023

6410 NE HALSEY ST
Portland, OR 97213

(503) 215-2669

✔ PECOSSame address

Elke Lowenkopf, MD

Hospice/Palliative Care

NPI 1548323009

6410 NE HALSEY ST SUITE 300
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Rachel Rackow, M.D.

Hospice/Palliative Care

NPI 1285862565

6410 NE HALSEY ST STE 300
Portland, OR 97213

(503) 215-4691

✔ PECOS✔ Accepts MedicareSame address

Hannah Ryan, M.D.

Internal Medicine

NPI 1174880470

6410 NE HALSEY ST
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Lori Siegal, M.D.

Internal Medicine

NPI 1376656561

6410 NE HALSEY STREET SUITE 300
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Jennifer Lawrence, MSW, LCSW

Clinical Social Worker

NPI 1932479250

6410 NE HALSEY ST STE 300
Portland, OR 97213

(503) 215-4691

✔ PECOS✔ Accepts MedicareSame address

Patricia Fogarty, M.D.

Hospice/Palliative Care

NPI 1801180260

6350 NE HALSEY ST
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Lena Hillenburg, MD

Internal Medicine

NPI 1710042502

6350 NE HALSEY ST
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Katherine Mayers, NP

Nurse Practitioner

NPI 1821584889

6350 NE HALSEY ST
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Richard Warren, ANP

Nurse Practitioner

NPI 1134151822

6350 NE HALSEY ST
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Rebecca Davis

Clinical Social Worker

NPI 1730585191

6350 NE HALSEY ST
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Juan Iregui, MD

Hospice/Palliative Care

NPI 1336191618

6350 NE HALSEY ST
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Maryam Saudagaran, AGPCNP

Nurse Practitioner

NPI 1083248504

6350 NE HALSEY ST
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts MedicareSame address

Benjamin Ware, MD

Internal Medicine

NPI 1922411404

4805 NE GLISAN ST
Portland, OR 97213

(503) 215-2669

✔ PECOS✔ Accepts Medicare0.8 mi

Anne Houff, MD

Hospice/Palliative Care

NPI 1013116565

3181 SW SAM JACKSON PARK RD
Portland, OR 97239

(888) 233-8305

✔ PECOS✔ Accepts Medicare4.8 mi

Amanda Walter, FNP

Nurse Practitioner

NPI 1609232248

10330 SE 32ND AVE STE 110
Milwaukie, OR 97222

(503) 513-1300

✔ PECOS✔ Accepts Medicare6.0 mi

Elise Newman, MD

Hospice/Palliative Care

NPI 1659326098

9205 SW BARNES RD 5TH FLOOR SOUTH
Portland, OR 97225

(503) 216-2906

✔ PECOS✔ Accepts Medicare8.6 mi

Tula Top, M.D.

Hospice/Palliative Care

NPI 1346432721

2211 NE 139TH ST
Vancouver, WA 98686

(360) 487-1169

✔ PECOS✔ Accepts Medicare13 mi

Lucas Pfeifer, DO

Hospice/Palliative Care

NPI 1962908962

1111 CRATER LAKE AVE
Medford, OR 97504

(541) 732-6274

✔ PECOS✔ Accepts Medicare221 mi

See all 22 clinicians

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

Medical Equipment Supplier Medicare DMEPOS 28

Medicare supplier enrollment and the product categories Providence Home Medical Equipment carries, from the Medicare DMEPOS supplier directory.

Providence Home Medical Equipment

DMEPOS supplier · Portland, OROperated by Providence Health & Services Oregon

✔

Accepts Medicare assignment

Providence Home Medical Equipment agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20483507

Medicare Participant SinceMay 11, 2015

Supplier Location6410 NE Halsey St Ste 500Portland, OR 97213

Phone(503) 215-4663

Provider TypeOxygen & Equipment

Supplier Specialties

MSC With Respiratory Therapist

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Gastric Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Speech Generating Devices

Digitized speech devices, Synthesized speech devices

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Traction Equipment

Traction tables, Traction machines, Inversion tables

Ultraviolet Light Devices and/or Supplies

Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Tracheotomy Supplies

Tracheostomy care kits

Enteral Nutrients

Enteral formula

Enteral Equipment and/or Supplies

Enteral infusion pumps, enteral nutrition supply kits

Continuous Positive Airway Pressure (CPAP) Devices

CPAP machines, Compressor systems, Humidifiers, Masks

Mechanical In-Exsufflation Devices

Mechanical in-exsufflation devices are designed to slowly inflate the lungs with positive pressure during inspiration and simulate cough with rapidly applied negative pressure during expiration.

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Respiratory Assist Devices

Respiratory Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Ventilators Accessories and/or Supplies

Volume control ventilator, Pressure support ventilator

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1043366172. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Providence Connections Medical Group.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 6410 NE Halsey St Suite 300, Portland, OR 97213. The listed phone number is (503) 215-4691.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

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), 22 clinicians in 4 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 Hospice/Palliative Care (9), Nurse Practitioner (6) and Internal Medicine (4). Of these, 7 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Providence Health & Services Oregon accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Providence Home Medical Equipment accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Providence Health & Services Oregon accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Providence Health & Services Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.