PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1154427821
Obstetrics & Gynecology in Portland, OR

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since September 16, 2006

9135 SW BARNES RD STE 761, PORTLAND, OR 97225(503) 216-2602 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Sep 17, 2024 and 1 more (4 updates tracked since 2020).

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About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1154427821), doing business as Providence Medical Group, is a healthcare organization registered as an obstetrics & gynecology in Portland, Oregon and active in the NPI registry since September 2006. The organization maintains a secondary practice location in Portland and lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1154427821

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address9135 SW BARNES RD STE 761Portland, OR 97225-6777

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 216-2602

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJune 20, 20254 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1154427821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedClinic/CenterTaxonomy 261Q00000X

9135 SW BARNES RD STE 761, Portland, OR 97225

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group Columbia Women's Clinic

Secondary Practice Location 1

Location 19427 SW Barnes Rd, Suite 395Portland, OR 97225-6652 · Phone (503) 216-2602 · Fax (503) 216-2639

Other Identifiers 1

Medicaid129531OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 16

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

CAROLYN MARIE WITHEE DO

Obstetrics & Gynecology