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: October 25, 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
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

Other Names 2

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

Accepted 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

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, 1,105 practice 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
Internal Medicine
NPI 1356803159
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1871772442
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 215-5895
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1275979171
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1952042921
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1013302348
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 215-5895
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1114968633
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8695
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1790718310
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1437136025
10202 SE 32ND AVE STE 701
Milwaukie, OR 97222
(503) 513-1410
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1639333511
10202 SE 32ND AVE STE 701
Milwaukie, OR 97222
(503) 513-1410
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1982896932
10202 SE 32ND AVE STE 701
Milwaukie, OR 97222
(503) 513-1410
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1437405891
10202 SE 32ND AVE STE 701
Milwaukie, OR 97222
(971) 345-5060
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1346871662
10330 SE 32ND AVE STE 210
Milwaukie, OR 97222
(503) 723-6525
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1124451521
10330 SE 32ND AVE STE 305
Milwaukie, OR 97222
(503) 513-1800
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1194048264
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1457307977
10330 SE 32ND AVE STE 325
Portland, OR 97222
(503) 416-1960
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1891021960
10330 SE 32ND AVE STE 210
Milwaukie, OR 97222
(503) 723-6525
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1528533890
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1598884033
10330 SE 32ND AVE STE 226
Milwaukie, OR 97222
(503) 215-8020
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1104168608
10330 SE 32ND AVE STE 226
Milwaukie, OR 97222
(503) 513-8020
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1386893444
10330 SE 32ND AVE STE 305
Milwaukie, OR 97222
(503) 513-1800
✔ PECOS✔ Accepts Medicare0.2 mi
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 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.

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, 1,105 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16 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.