PROVIDENCE HEALTH & SERVICES OREGON
NPI 1265743330
Internal Medicine - Interventional Cardiology in Salem, OR

Active since June 23, 2010
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306(503) 291-2123 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 4, 2025, May 5, 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 1265743330), doing business as Providence Medcial Group, is a healthcare organization registered as an interventional cardiology in Salem, Oregon and active in the NPI registry since June 2010. The organization lists Donald Wayne Anderson, Asst Sec Enrollment, as its authorized official.

NPPES Registry Identity

NPI1265743330
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address5050 SKYLINE VILLAGE LOOP SSalem, OR 97306-9490
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Sec Enrollment · (425) 358-9786
Enumeration DateJune 23, 2010
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
NPI 1265743330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedClinic/CenterTaxonomy 261Q00000X
5050 SKYLINE VILLAGE LOOP S, Salem, OR 97306

Other Names 2

Doing Business AsProvidence Medcial Group
Doing Business AsProvidence St Vincent Heart Clinics Cardiology Doctors Clinic Salem

Other Identifiers 1

Medicaid500630291OR

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.

Internal Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Nurse Practitioner (Primary Care)
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Internal Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Surgery
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Physician Assistant
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Family Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Physician Assistant
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Nurse Practitioner (Psychiatric/Mental Health)
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306

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 1265743330. It was assigned to this organization in the NPPES registry on June 23, 2010. The provider is doing business as Providence Medcial Group and Providence St Vincent Heart Clinics Cardiology Doctors Clinic Salem.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 5050 Skyline Village Loop S, Salem, OR 97306. The listed phone number is (503) 291-2123.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

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 with the weekly NPPES data releases published by CMS.