EXPRESS CARE OR PC
NPI 1205499126
General Practice in Portland, OR

Active since April 16, 2019CLIA 27D2167869 · Waiver
1025 NW 14TH AVE, PORTLAND, OR 97209(888) 327-3312 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2025, May 6, 2025, Oct 5, 2021 and 2 more (5 updates tracked since 2019).

About Express Care Or Pc NPPES

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

EXPRESS CARE OR PC (NPI 1205499126), doing business as Providence Express Care, is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1205499126
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEXPRESS CARE OR PC
Location Address1025 NW 14TH AVEPortland, OR 97209-2705
Mailing AddressPo Box 3229Portland, OR 97208-3229 · (888) 227-3312 · Fax (425) 276-3215
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 16, 2019
Last NPPES UpdateJune 3, 20255 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1205499126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
1025 NW 14TH AVE, Portland, OR 97209

Other Names 1

Doing Business AsProvidence Express Care

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Express Care Or Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Express Care Or PC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner42
Family Practice1

Nearest to this location (20)

See all 43
Family Practice
NPI 1356414536
1321 NE 99TH AVE STE 100
Portland, OR 97220
(503) 215-9900
✔ PECOS6.0 mi
Nurse Practitioner
NPI 1457903239
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1538583471
2935 SW CEDAR HILLS BLVD
Beaverton, OR 97005
(503) 352-6000
✔ PECOS✔ Accepts Medicare6.4 mi
Nurse Practitioner
NPI 1841952876
4816 NW BETHANY BLVD
Portland, OR 97229
(888) 227-3312
✔ PECOS✔ Accepts Medicare7.5 mi
Nurse Practitioner
NPI 1467139642
4816 NW BETHANY BLVD
Portland, OR 97229
(888) 227-3312
✔ PECOS✔ Accepts Medicare7.5 mi
Nurse Practitioner
NPI 1013329002
17979 NE GLISAN ST
Portland, OR 97230
(888) 227-3312
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1801955844
13428 COLTON PL STE 102
Oregon City, OR 97045
(888) 227-3312
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1588262687
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 263-9500
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1114513116
1840 E PORTLAND RD
Newberg, OR 97132
(888) 227-3312
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1154138808
304 JEFFERSON SCIO DR
Jefferson, OR 97352
(503) 508-8526
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1003872789
1350 MARVIN RD NE STE D
Lacey, WA 98516
(888) 227-3312
✔ PECOS✔ Accepts Medicare106 mi
Nurse Practitioner
NPI 1861687170
9040 REID ST
Tacoma, WA 98431
(253) 968-2252
✔ PECOS✔ Accepts Medicare115 mi
Nurse Practitioner
NPI 1043006620
4515 FAIRWOOD BLVD NE APT 499
Tacoma, WA 98422
(360) 979-9030
✔ PECOS✔ Accepts Medicare123 mi
Nurse Practitioner
NPI 1649371113
3920 OUTLOOK RD
Sunnyside, WA 98944
(509) 837-1676
✔ PECOS✔ Accepts Medicare140 mi
Nurse Practitioner
NPI 1710199427
800 5TH AVE STE 900
Seattle, WA 98104
(855) 229-6460
✔ PECOS✔ Accepts Medicare144 mi
Nurse Practitioner
NPI 1164695102
21601 76TH AVE W
Edmonds, WA 98026
(425) 640-4000
✔ PECOS✔ Accepts Medicare158 mi
Nurse Practitioner
NPI 1992496335
17432 STATE RTE 9 STE 201
Snohomish, WA 98296
(425) 404-7800
✔ PECOS✔ Accepts Medicare163 mi
Nurse Practitioner
NPI 1043555709
19200 N KELSEY ST
Monroe, WA 98272
(360) 794-7994
✔ PECOS✔ Accepts Medicare165 mi
Nurse Practitioner
NPI 1376914879
10200 MUKILTEO SPEEDWAY
Mukilteo, WA 98275
(888) 227-3312
✔ PECOS✔ Accepts Medicare165 mi
Nurse Practitioner
NPI 1336968361
888 SWIFT BLVD
Richland, WA 99352
(509) 946-4611
✔ PECOS✔ Accepts Medicare172 mi
See all 43 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2167869

Express Care Southgate · Missoula, MT
Active · expires Jun 16, 2027
CLIA Number27D2167869
Laboratory TypeExpress Care
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorOlubanke Babalola
Laboratory Phone(888) 227-3312
Laboratory LocationExpress Care Southgate3624 Brooks Street, Ste 101, Missoula, MT 59801
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Express Care Or PC's NPI number?

The NPI number for Express Care Or PC is 1205499126. It was assigned to this organization in the NPPES registry on April 16, 2019. The provider is doing business as Providence Express Care.

Where is Express Care Or PC located?

Express Care Or PC is located at 1025 NW 14th Ave, Portland, OR 97209. The listed phone number is (888) 327-3312.

What is Express Care Or PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Express Care Or PC enrolled in Medicare?

Yes. Express Care Or PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Express Care Or PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 2 Medicare specialties reassign their Medicare billing to Express Care Or PC. 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 Nurse Practitioner (42) and Family Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Express Care Or PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2167869) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Express Care Or PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan list Express Care Or PC 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 Express Care Or PC was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.