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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1194996991
Pediatrics in Bend, OR

Active since March 19, 2008
2200 NE PROFESSIONAL CT, BEND, OR 97701(541) 389-6313 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2025, May 16, 2025 (2 updates tracked since 2025).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1194996991), doing business as Providence Medical Group, is a healthcare organization registered as a pediatrics in Bend, Oregon and active in the NPI registry since March 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1194996991
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address2200 NE PROFESSIONAL CTBend, OR 97701-6063
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494
Phone(541) 389-6313
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMarch 19, 2008
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1194996991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/CenterTaxonomy 261Q00000X
2200 NE PROFESSIONAL CT, Bend, OR 97701
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Pediatric Neurology Bend

Other Identifiers 1

Medicaid279130OR

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.

SHELANNA RAE BURTON
Community Health Worker
2200 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 389-6313
CENTRAL OREGON PEDIATRIC ASSOCIATES SUBSPECIALTY
Pediatrics
2200 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 389-6313
ANGELA LEN LULL IBCLC, LMT,CST,DOULA
Lactation Consultant, Non-RN
2200 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 389-6313
MR. STACY C. BERUBE MD
Pediatrics
2200 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 389-6313
AUDREY NICOLE HESTER RD, LD
Dietitian, Registered
2200 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 389-6313
DR. VALERIE J BAILIE MD
Pediatrics
2200 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 389-6313
MS. HEIKE K. HUCHLER FNP
Nurse Practitioner (Family)
2200 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 389-6316
EMILY LEGAULT MAULLER MD
Pediatrics
2200 NE PROFESSIONAL CT
BEND, OR 97701
Deschutes County (541) 389-6313

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 1194996991. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Providence Medical Group and Providence Pediatric Neurology Bend.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 2200 NE Professional Ct, Bend, OR 97701. The listed phone number is (541) 389-6313.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on July 4, 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.