PROVIDENCE HEALTH & SERVICES OREGON
NPI 1114244597
Internal Medicine - Cardiovascular Disease in Portland, OR
About Providence Health & Services Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES OREGON (NPI 1114244597), doing business as Providence Medical Group, is a healthcare organization registered as a cardiovascular disease in Portland, Oregon and active in the NPI registry since April 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 2
Other Identifiers 1
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.
PORTLAND, OR 97225
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 1114244597. It was assigned to this organization in the NPPES registry on April 26, 2010. The provider is doing business as Providence Medical Group and Providence St Vincent Heart Clinics Cardiology.
Where is Providence Health & Services Oregon located?
Providence Health & Services Oregon is located at 9427 SW Barnes Rd Ste 495, Portland, OR 97225. The listed phone number is (503) 216-0900.
What is Providence Health & Services Oregon's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
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.
# Providence Health & Services Oregon · NPI 1114244597
Cardiovascular Disease organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since April 26, 2010.
## Identity
- **NPI:** 1114244597 (Entity type: Organization)
- **Enumerated:** April 26, 2010
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Also known as:** PROVIDENCE MEDICAL GROUP (Doing Business As); PROVIDENCE ST VINCENT HEART CLINICS CARDIOLOGY (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 9427 SW BARNES RD, STE 495, Portland, OR 97225-6652
- **Phone:** (503) 216-0900
## Record status
- **NPPES last updated:** June 20, 2025
- **Other identifiers:** Medicaid 500622015 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114244597) · Data from the CMS NPPES public registry.