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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1053727636
Internal Medicine - Hematology in Milwaukie, OR

Active since July 03, 2014
3300 SE DWYER DR, SUITE 304, MILWAUKIE, OR 97222(503) 513-8043 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, May 16, 2025 (2 updates tracked since 2025).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1053727636), doing business as Providence Medical Group, is a healthcare organization registered as a hematology in Milwaukie, Oregon and active in the NPI registry since July 2014. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1053727636
Entity TypeOrganization
Primary Taxonomy207RH0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address3300 SE DWYER DR, SUITE 304Milwaukie, OR 97222-6548
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 513-8043
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateJuly 3, 2014
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1053727636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedClinic/CenterTaxonomy 261Q00000X
3300 SE DWYER DR, Milwaukie, OR 97222
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Anticoagulation Telephone Management

Accepted Insurance

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

Other Providers at the Same Location NPPES 6

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

CYNTHIA HANKINS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3300 SE DWYER DR, ANNEX BUILDING, SUITE #304
MILWAUKIE, OR 97222
Clackamas County (503) 513-8343
MS. WENDY J ECKHART PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3300 SE DWYER DR, SUITE 304
MILWAUKIE, OR 97222
Clackamas County (503) 513-8343
SZE MING LI PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3300 SE DWYER DR, STE 304
MILWAUKIE, OR 97222
Clackamas County (503) 513-8343
REBECCA ELIZABETH BLACK PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3300 SE DWYER DR, SUITE 304
MILWAUKIE, OR 97222
Clackamas County (503) 513-8343
KRISTEN M GALLAWAY RDH
Dental Hygienist
3300 SE DWYER DR, STE 302
MILWAUKIE, OR 97222
Clackamas County (503) 850-4479
DR. JANICE LYNN BELKNAP PHARMD
Pharmacist
3300 SE DWYER DR, ANNEX BLDG SUITE #304
MILWAUKIE, OR 97222
Clackamas County (503) 513-8343

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 1053727636. It was assigned to this organization in the NPPES registry on July 3, 2014. The provider is doing business as Providence Medical Group and Providence Medical Group Anticoagulation Telephone Management.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 3300 SE Dwyer Dr Suite 304, Milwaukie, OR 97222. The listed phone number is (503) 513-8043.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

What insurance does Providence Health & Services - Oregon accept?

Health plans from 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 June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.