PROVIDENCE HEALTH & SERVICES OREGON
NPI 1164623401
Internal Medicine in Portland, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1164623401. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Providence Medical Group.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 31, 2007

4400 NE HALSEY ST, PORTLAND, OR 97213(503) 893-6524 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Oct 14, 2022 and 2 more (5 updates tracked since 2017).

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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 1164623401), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Portland, Oregon and active in the NPI registry since May 2007. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1164623401

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address4400 NE HALSEY STPortland, OR 97213-1545

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(503) 893-6524

Organization SubpartNo

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

Enumeration DateMay 31, 2007

Last NPPES UpdateJune 20, 20255 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1164623401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedClinic/CenterTaxonomy 261Q00000X

4400 NE HALSEY ST, Portland, OR 97213

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Other Names 1

Doing Business AsProvidence Medical Group

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 20

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

CLARA MIKHAEIL PHARMD

Pharmacist (Ambulatory Care)

4400 NE HALSEY ST, BUILDING 2 SUITE 490
PORTLAND, OR 97213

Multnomah County (503) 893-6900

TEODORA FETEA RN

Registered Nurse (Ambulatory Care)

4400 NE HALSEY ST
PORTLAND, OR 97213

Multnomah County (971) 369-0571

DR. HEIDI L CHINWUBA PHARMD

Pharmacist (Pharmacotherapy)

4400 NE HALSEY ST, 4TH FLOOR
PORTLAND, OR 97213

Multnomah County (503) 893-6900

MARISA GILLASPIE AZIZ CNS

Clinical Nurse Specialist

4400 NE HALSEY ST
PORTLAND, OR 97213

Multnomah County (541) 610-3346

PROVIDENCE HEALTH & SERVICE - OREGON

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

4400 NE HALSEY ST, BUILDING 1, STE 200
PORTLAND, OR 97213

Multnomah County (503) 215-6556

ANDREANA ROCHELLE JONES PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

4400 NE HALSEY ST, BLDG 1, STE 200
PORTLAND, OR 97213

Multnomah County (503) 215-6556

CYNTHIA MEDRANO PMHNP, FNP

Nurse Practitioner (Psychiatric/Mental Health)

4400 NE HALSEY ST, BLDG 1, STE 200
PORTLAND, OR 97213

Multnomah County (503) 215-6556

DR. MATHEW SCOTT GREENBERG MD

Pathology (Anatomic Pathology & Clinical Pathology)

4400 NE HALSEY ST, BLDG #3 PATHOLOGY AND LABORATORY
PORTLAND, OR 97213

Multnomah County (503) 893-7757

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 1164623401. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Providence Medical Group.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 4400 NE Halsey St, Portland, OR 97213. The listed phone number is (503) 893-6524.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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 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.