PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1205937273
Family Medicine in Lake Oswego, OR

NPI Status: Active since September 25, 2006

Contact Information

4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR
ZIP 97035
Phone: (503) 216-1500

Get Directions Write a Review

  • Organization
  • Family Medicine
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES - OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, a primary care provider established in Lake Oswego, Oregon operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1205937273 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Health & Services - Oregon operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secreatry For Enrollment)

NPI
1205937273
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
4004 KRUSE WAY PL STE 300 LAKE OSWEGO, OR 97035
Location Phone
(503) 216-1500
Mailing Address
PO BOX 31001 - 4180 PASADENA, CA 91110
Mailing Phone
(503) 215-6494
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2006
Last Update Date
07-04-2025
Code Navigator

A primary care provider (PCP) like Providence Health & Services - Oregon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 
2261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECREATRY FOR ENROLLMENT
Authorized Official Phone
(425) 358-9786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
241291MEDICAID (05)OR 

Reviews for PROVIDENCE HEALTH & SERVICES - OREGON

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205937273, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 8 + 3 + 1 + 4 + 2 + 1 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1205937273.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Physical Therapist
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Nurse Practitioner (Family)
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Physical Therapist
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Internal Medicine
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Physical Therapist
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Family Medicine
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Internal Medicine
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Nurse Practitioner (Family)
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Nurse Practitioner (Family)
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Physician Assistant
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Family Medicine
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Physical Therapist
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Physical Therapist
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Nurse Practitioner (Family)
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Psychologist (Clinical)
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Psychologist (Clinical)
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Physical Therapist
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Physical Therapist
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Family Medicine
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205937273, enumerated as an "organization" on September 25, 2006.

The provider is located at 4004 KRUSE WAY PL STE 300 LAKE OSWEGO, OR 97035 and the phone number is (503) 216-1500.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.