PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1255753380
Clinic/Center in Grants Pass, OR

NPI Status: Active since January 08, 2014

Contact Information

1619 NW HAWTHORNE AVE
SUITE 206
GRANTS PASS, OR
ZIP 97526
Phone: (541) 732-7850

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  • Organization
  • Clinic/Center

About PROVIDENCE HEALTH & SERVICES - OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, a provider established in Grants Pass, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1255753380 assigned on January 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated May 2025. Providence Health & Services - Oregon operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Enrollment)

NPI
1255753380
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1619 NW HAWTHORNE AVE SUITE 206 GRANTS PASS, OR 97526
Location Phone
(541) 732-7850
Mailing Address
PO BOX 3158 PORTLAND, OR 97208
Mailing Phone
(541) 732-7850
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2014
Last Update Date
05-12-2025
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 

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:

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 SECRETARY 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
500668065MEDICAID (05)OR 

Reviews for PROVIDENCE HEALTH & SERVICES - OREGON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255753380
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051456316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 5 + 6 + 3 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255753380 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

MS. TAMMY LOWE FNP

Nurse Practitioner

1619 NW HAWTHORNE AVE
SUITE201
GRANTS PASS, OR
ZIP 97526

(541) 474-1020

MS. HEATHER VOSS ANP

Nurse Practitioner

(Adult Health)

1619 NW HAWTHORNE AVE
GRANTS PASS, OR
ZIP 97526

(541) 474-1020

DR. CHRISTINE MEIS DPM

Podiatrist

1619 NW HAWTHORNE AVE
SUITE 110
GRANTS PASS, OR
ZIP 97526

(541) 471-7056

DR. MARK SIMCHUK DPM

Podiatrist

1619 NW HAWTHORNE AVE
SUITE 110
GRANTS PASS, OR
ZIP 97526

(541) 471-7056

REBECCA L HARROLD OTR/L

Occupational Therapist

1619 NW HAWTHORNE AVE
SUITE 109
GRANTS PASS, OR
ZIP 97526

(541) 476-2502

HAND AND ARM SURGERY OF SOUTHERN OREGON, PC

Specialist

1619 NW HAWTHORNE AVE
SUITE 106
GRANTS PASS, OR
ZIP 97526

(541) 955-0585

ARETE NW, LLC

Clinic/Center

(Sleep Disorder Diagnostic)

1619 NW HAWTHORNE AVE
SUITE 204
GRANTS PASS, OR
ZIP 97526

(554) 672-8155

ACTION REHABILITATION & SPORTS MEDICINE, P.C.

Physical Therapist

1619 NW HAWTHORNE AVE
SUITE 109
GRANTS PASS, OR
ZIP 97526

(541) 472-1799

SORWEIDE FAMILY MEDICINE PC

Family Medicine

1619 NW HAWTHORNE AVE
SUITE 101
GRANTS PASS, OR
ZIP 97526

(541) 955-0607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255753380, enumerated as an "organization" on January 08, 2014.

The provider is located at 1619 NW HAWTHORNE AVE SUITE 206 GRANTS PASS, OR 97526 and the phone number is (541) 732-7850.

Clinic/Center with taxonomy code 261Q00000X.

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