PROVIDENCE OCCUPATIONAL MEDICINE-NW
NPI 1114255247
Clinic/Center - Occupational Medicine in Portland, OR
About Providence Occupational Medicine-nw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE OCCUPATIONAL MEDICINE-NW (NPI 1114255247) is a healthcare organization registered as an occupational medicine in Portland, Oregon and active in the NPI registry since December 2009. The organization lists Donald W Anderson, Reimbursement Director-administrati, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Occupational Medicine-nw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Providence Occupational Medicine-Nw, which bills Medicare for the services they deliver. Of these, 18 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 22Source: 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 1114255247. It was assigned to this organization in the NPPES registry on December 1, 2009. The provider is doing business as Providence Occupational Medicine-Nw.
Where is Providence Health & Services - Oregon located?
Providence Health & Services - Oregon is located at 1750 NW Naito Parkway Suite 100, Portland, OR 97209. The listed phone number is (503) 216-7960.
What is Providence Health & Services - Oregon's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.
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), 22 clinicians in 4 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 Hospice/Palliative Care (9), Nurse Practitioner (6) and Internal Medicine (4). Of these, 18 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Providence Health & Services - Oregon was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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 Occupational Medicine-Nw · NPI 1114255247
Occupational Medicine organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since December 1, 2009.
## Identity
- **NPI:** 1114255247 (Entity type: Organization)
- **Enumerated:** December 1, 2009
- **Primary specialty:** Clinic/Center - Occupational Medicine · taxonomy 261QX0100X
- **Legal business name:** Providence Health & Services - Oregon
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, REIMBURSEMENT DIRECTOR-ADMINISTRATI
## Practice location
- **Address:** 1750 NW NAITO PARKWAY, SUITE 100, Portland, OR 97209-2530
- **Phone:** (503) 216-7960 · **Fax:** (503) 227-6138
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hospice/Palliative Care (9), Nurse Practitioner (6), Internal Medicine (4); 18 practice within 10 miles; [full list](https://npiprofile.com/npi/1114255247/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1114255247) · Data from the CMS NPPES public registry.