PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1083059778
Obstetrics & Gynecology - Gynecology in Portland, OR

Active since May 08, 2013
9427 SW BARNES RD, SUITE 599, PORTLAND, OR 97225(503) 216-0490(503) 216-0495 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 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 1083059778), doing business as Providence Medical Group, is a healthcare organization registered as a gynecology in Portland, Oregon and active in the NPI registry since May 2013. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1083059778
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address9427 SW BARNES RD, SUITE 599Portland, OR 97225-6652
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Fax(503) 216-0495
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateMay 8, 2013
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
NPI 1083059778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
9427 SW BARNES RD, Portland, OR 97225

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Gynecology Clinic West

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.

Advanced Practice Midwife
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Surgery
9427 SW BARNES RD, SUITE 596
PORTLAND, OR 97225
Nurse Practitioner (Family)
9427 SW BARNES RD, SUITE 595
PORTLAND, OR 97225
Pediatrics
9427 SW BARNES RD, SUITE 396
PORTLAND, OR 97225
Pediatrics
9427 SW BARNES RD, SUITE 598
PORTLAND, OR 97225
Obstetrics & Gynecology
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Internal Medicine (Clinical Cardiac Electrophysiology)
9427 SW BARNES RD, STE 490
PORTLAND, OR 97225
Orthopaedic Surgery (Sports Medicine)
9427 SW BARNES RD
PORTLAND, OR 97225

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 1083059778. It was assigned to this organization in the NPPES registry on May 8, 2013. The provider is doing business as Providence Medical Group and Providence Gynecology Clinic West.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 9427 SW Barnes Rd Suite 599, Portland, OR 97225. The listed phone number is (503) 216-0490.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

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 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.