PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1174918890
Internal Medicine - Critical Care Medicine in Portland, OR

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since March 31, 2015

9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-3191(503) 216-3190 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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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 1174918890), doing business as Providence Physicians Intensivists, is a healthcare organization registered as a critical care medicine in Portland, Oregon and active in the NPI registry since March 2015. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1174918890

Entity TypeOrganization

Primary Taxonomy207RC0200X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address9205 SW BARNES RDPortland, OR 97225-6603

Mailing AddressPo Box 31001-4199Pasadena, CA 91110-4199

Phone(503) 216-3191

Fax(503) 216-3190

Organization SubpartNo

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

Enumeration DateMarch 31, 2015

Last NPPES UpdateApril 29, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1174918890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

9205 SW BARNES RD, Portland, OR 97225

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Other Names 1

Doing Business AsProvidence Physicians Intensivists

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

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 Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

753

Medicare enrollment records show 753 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 124 practice at this address and 547 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 53

Internal Medicine88

Nurse Practitioner82

Emergency Medicine70

Hospitalist44

Clinical Social Worker41

Neurology39

Family Practice34

Cardiovascular Disease (Cardiology)33

45 other specialties322

Nearest to this location (20)

See all 753

Minh Thu Duong, D.O.

Internal Medicine

NPI 1194144584

9205 SW BARNES RD
Portland, OR 97225

(503) 216-2906

✔ PECOS✔ Accepts MedicareSame address

Nikole Goocher, NP

Nurse Practitioner

NPI 1063232239

9205 SW BARNES RD
Portland, OR 97225

(503) 216-1234

✔ PECOS✔ Accepts MedicareSame address

John Thiesing, M.D.

Interventional Radiology

NPI 1225104599

9205 SW BARNES RD
Portland, OR 97225

(503) 216-4830

✔ PECOS✔ Accepts MedicareSame address

Shannon Appy, MD

Emergency Medicine

NPI 1639597503

9205 SW BARNES RD
Portland, OR 97225

(503) 216-2189

✔ PECOS✔ Accepts MedicareSame address

Elizabeth Ballner, D.O.

Hospitalist

NPI 1114193430

9205 SW BARNES RD
Portland, OR 97225

(503) 216-2906

✔ PECOS✔ Accepts MedicareSame address

Nicole Bishop-Perdue, MD

Pediatric Medicine

NPI 1275641060

9205 SW BARNES RD 1ST FLOOR
Portland, OR 97225

(503) 216-2906

✔ PECOS✔ Accepts MedicareSame address

Lydian Bowley, LPC

Mental Health Counselor

NPI 1790442978

9205 SW BARNES RD
Portland, OR 97225

(503) 216-1234

✔ PECOSSame address

Marguerite Cohen, MD

Obstetrics/Gynecology

NPI 1992715981

9205 SW BARNES RD FL 3
Portland, OR 97225

(503) 216-3388

✔ PECOS✔ Accepts MedicareSame address

William Fife, MD

Diagnostic Radiology

NPI 1366413486

9205 SW BARNES RD
Portland, OR 97225

(503) 216-4830

✔ PECOS✔ Accepts MedicareSame address

Jonathan Greenberg, MD

Critical Care (Intensivists)

NPI 1659834281

9205 SW BARNES RD
Portland, OR 97225

(503) 216-3194

✔ PECOS✔ Accepts MedicareSame address

Erika Hager

Clinical Social Worker

NPI 1265101976

9205 SW BARNES RD
Portland, OR 97225

(503) 216-1234

✔ PECOSSame address

Rahul Lauhan, M.D.

Psychiatry

NPI 1245591189

9205 SW BARNES RD C/O 5E IP ADMIN SUITE
Portland, OR 97225

(503) 216-1234

✔ PECOS✔ Accepts MedicareSame address

Danielle Miller, DO

Family Practice

NPI 1790131472

9205 SW BARNES RD
Portland, OR 97225

(503) 216-2906

✔ PECOS✔ Accepts MedicareSame address

Matthew Frank, M.D.

Pathology

NPI 1023229838

9205 SW BARNES RD
Portland, OR 97225

(303) 859-4275

✔ PECOS✔ Accepts MedicareSame address

Natasha Edwin, M.D.

Hematology

NPI 1063767317

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 216-6300

✔ PECOS✔ Accepts MedicareSame address

Paula Gerber-Gore, MD

Neurology

NPI 1518156504

9155 SW BARNES RD STE 440
Portland, OR 97225

(503) 935-8500

✔ PECOS✔ Accepts MedicareSame address

Ashley Lanehurst, PHD

Clinical Psychologist

NPI 1083235105

9205 SW BARNES RD STE MT2800
Portland, OR 97225

(503) 216-2621

✔ PECOS✔ Accepts MedicareSame address

Stacy Lewis, MD

Medical Oncology

NPI 1124021753

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 216-6300

✔ PECOS✔ Accepts MedicareSame address

Emily Lin, MD

Hematology/Oncology

NPI 1598149650

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 216-6300

✔ PECOS✔ Accepts MedicareSame address

Sarah Walcott Sapp, MD

General Surgery

NPI 1811263080

9155 SW BARNES RD STE 238
Portland, OR 97225

(503) 216-6407

✔ PECOS✔ Accepts MedicareSame address

See all 753 clinicians

Source: 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 1174918890. It was assigned to this organization in the NPPES registry on March 31, 2015. The provider is doing business as Providence Physicians Intensivists.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-3191.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

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), 753 clinicians in 53 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 Internal Medicine (88), Nurse Practitioner (82) and Emergency Medicine (70). Of these, 124 practice at this address and 547 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 April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.