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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1245567809
Internal Medicine in Happy Valley, OR

Active since November 03, 2009
16180 SE SUNNYSIDE RD, SUITE 102, HAPPY VALLEY, OR 97015(503) 582-4975(503) 582-4999 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Sep 4, 2024 and 1 more (4 updates tracked since 2021).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1245567809), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Happy Valley, Oregon and active in the NPI registry since November 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1245567809
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address16180 SE SUNNYSIDE RD, SUITE 102Happy Valley, OR 97015-6302
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 582-4975
Fax(503) 582-4999
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateNovember 3, 2009
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1245567809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
16180 SE SUNNYSIDE RD, Happy Valley, OR 97015
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Happy Valley Immediate Care

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 ›

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

1,498

Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 548 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 56

Internal Medicine250
Family Practice212
Nurse Practitioner210
Hospitalist96
Neurology57
Obstetrics/Gynecology57
Physical Therapist in Private Practice54
Clinical Psychologist53
48 other specialties509

Nearest to this location (20)

See all 1,498
Merna Labib, DO
Family Practice
NPI 1811456130
16180 SE SUNNYSIDE RD STE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Pavelka, DO
Family Practice
NPI 1447218318
16180 SE SUNNYSIDE RD SUITE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
Sebastian Reeve, MD
Family Practice
NPI 1588153787
16180 SE SUNNYSIDE RD STE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
Kimberly Rodda, FNP-BC
Nurse Practitioner
NPI 1528054384
16180 SE SUNNYSIDE RD SUITE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
Peter St George, DO
Family Practice
NPI 1184206088
16180 SE SUNNYSIDE RD STE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
Christopher Wilson, PSYD
Clinical Psychologist
NPI 1447455910
16180 SE SUNNYSIDE RD STE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
Kevin Grainger, MD
Family Practice
NPI 1194889808
16180 SE SUNNYSIDE RD STE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
Jennifer Larson, M.D.
Emergency Medicine
NPI 1679512347
16180 SE SUNNYSIDE RD STE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
Graham Phelps, FNP-BC
Nurse Practitioner
NPI 1114358033
16180 SE SUNNYSIDE RD STE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
Mhairi Mcfarlane, MD
Family Practice
NPI 1053464396
16180 SE SUNNYSIDE RD SUITE 102
Happy Valley, OR 97015
(503) 582-4900
✔ PECOS✔ Accepts MedicareSame address
John Steeh, D.O.
Emergency Medicine
NPI 1447359914
10180 S.E. SUNNYSIDE ROAD
Clackamas, OR 97015
(503) 652-2880
✔ PECOS✔ Accepts Medicare3.1 mi
Jennifer Stager, MA CCC-SLP
Qualified Speech Language Pathologist
NPI 1154449858
10180 SE SUNNYSIDE RD
Clackamas, OR 97015
(800) 813-2000
✔ Accepts Medicare3.1 mi
Hayley Hirt, CNM
Certified Nurse Midwife (CNM)
NPI 1154935252
10100 SE SUNNYSIDE RD
Clackamas, OR 97015
(503) 813-2000
✔ PECOS3.1 mi
Zachary Pena, M.D.
Dermatology
NPI 1538592399
10151 SE SUNNYSIDE RD STE 240
Clackamas, OR 97015
(503) 962-1840
✔ PECOS✔ Accepts Medicare3.1 mi
Rachel Gallagher, MD
Family Practice
NPI 1386349579
9290 SE SUNNYBROOK BLVD STE 120
Clackamas, OR 97015
(503) 215-2110
✔ PECOS3.5 mi
Melissa Arce, RD
Registered Dietitian or Nutrition Professional
NPI 1376206151
9290 SE SUNNYBROOK BLVD STE 120
Clackamas, OR 97015
(503) 215-2110
✔ Accepts Medicare3.5 mi
Gregory Garcia, MD
Internal Medicine
NPI 1922036219
9290 SE SUNNYBROOK BLVD SUITE 120
Clackamas, OR 97015
(503) 215-2110
✔ PECOS✔ Accepts Medicare3.5 mi
Catherine Wagoner, MD
Pediatric Medicine
NPI 1487627550
9290 SE SUNNYBROOK BLVD STE 120
Clackamas, OR 97015
(503) 215-2110
✔ PECOS3.5 mi
Janet Ruzich, DO
Medical Oncology
NPI 1508869140
9280 SE SUNNYBROOK BLVD STE 200
Clackamas, OR 97015
(503) 513-1900
✔ PECOS✔ Accepts Medicare3.5 mi
Suzanne Wallace, MSW, ASW, LCSW
Clinical Social Worker
NPI 1467587618
9911 SE MOUNT SCOTT BLVD
Portland, OR 97266
(503) 258-4200
✔ PECOS✔ Accepts Medicare4.2 mi
See all 1,498 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 1245567809. It was assigned to this organization in the NPPES registry on November 3, 2009. The provider is doing business as Providence Medical Group and Providence Medical Group Happy Valley Immediate Care.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 16180 SE Sunnyside Rd Suite 102, Happy Valley, OR 97015. The listed phone number is (503) 582-4975.

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

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

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), 1,498 clinicians in 56 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 (250), Family Practice (212) and Nurse Practitioner (210). Of these, 10 practice at this address and 548 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16 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.