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PROVIDENCE HEALTH & SERVICES OREGON
NPI 1053403394
Clinic/Center - Primary Care in Portland, OR

Active since September 28, 2006
9205 SW BARNES RD, MT7878, PORTLAND, OR 97225(503) 216-4961 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 4, 2025, Apr 4, 2024, Oct 22, 2019 (3 updates tracked since 2019).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1053403394), doing business as One Medical, is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since September 2006. The organization lists Donald Wayne Anderson, Asst Sec For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1053403394
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address9205 SW BARNES RD, MT7878Portland, OR 97225-6603
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 216-4961
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Sec For Enrollment · (425) 358-9786
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1053403394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
9205 SW BARNES RD, Portland, OR 97225
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Other Names 2

Doing Business AsOne Medical
Doing Business AsOne Medical With Providence

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOR NGUYEN PHAM M.D.
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
YEVGENY BULOCHNIK PHARMD
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-3299
MR. DANIEL PAUL ADDY C.R.N.A.
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MR. JONATHAN DAVID CAULLEY PT
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2610
EMILY ECHTENKAMP LCSW, CADC III, MAC
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
BRIAN J KEARNS MD
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
DR. JAMES S PUTNAM MD
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-4830
MATTHEW CARSTENS FRANK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (303) 859-4275

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 1053403394. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is doing business as One Medical and One Medical with Providence.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 9205 SW Barnes Rd Mt7878, Portland, OR 97225. The listed phone number is (503) 216-4961.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on July 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.