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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1295105518
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Active since September 29, 2015
830 NE 47TH AVE, PORTLAND, OR 97213(503) 215-2233 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Sep 17, 2020 and 3 more (6 updates tracked since 2015).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1295105518), doing business as Providence Medical Group, is a healthcare organization registered as a child & adolescent psychiatry in Portland, Oregon and active in the NPI registry since September 2015. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1295105518
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address830 NE 47TH AVEPortland, OR 97213-2212
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 215-2233
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateSeptember 29, 2015
Last NPPES UpdateJune 20, 20256 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1295105518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X
Also ListedClinic/CenterTaxonomy 261Q00000X
830 NE 47TH AVE, Portland, OR 97213
Open in Google Maps ↗

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Children's Development Institute At Child Center

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

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, 11 practice at this address and 1,045 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
Morgan Cash, OTR/L
Occupational Therapist in Private Practice
NPI 1003578543
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Emily Fernando, PNP
Nurse Practitioner
NPI 1982304630
830 NE 47TH AVE
Portland, OR 97213
(503) 216-2339
✔ PECOSSame address
Natalie Galvan, SLP
Qualified Speech Language Pathologist
NPI 1760038111
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Marley King, OT
Occupational Therapist in Private Practice
NPI 1275172066
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Karen Nagao, OTR/L
Occupational Therapist in Private Practice
NPI 1396032488
830 NE 47TH AVE
Portland, OR 97213
(503) 216-2339
Same address
Makiko Ogawa, SLP
Qualified Speech Language Pathologist
NPI 1366682163
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Lisa Rood, M.D.
Pediatric Medicine
NPI 1891719035
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
✔ PECOSSame address
Katrina Swarthout, OT
Occupational Therapist in Private Practice
NPI 1922570654
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Anna Verloo, SLP
Qualified Speech Language Pathologist
NPI 1730937582
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Tracy Zapf, SLP
Qualified Speech Language Pathologist
NPI 1720773757
830 NE 47TH AVE
Portland, OR 97213
(503) 216-2339
✔ Accepts MedicareSame address
Cressa Schuster, DPT
Physical Therapist in Private Practice
NPI 1366998254
830 NE 47TH AVE
Portland, OR 97213
(503) 216-8545
Same address
Jeff Campbell, MD
Hospitalist
NPI 1073704052
4805 NE GLISAN ST SUITE BG05
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts Medicare0.1 mi
Robert Hudon, MD
Internal Medicine
NPI 1700299294
4805 NE GLISAN ST STE BG05
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts Medicare0.1 mi
Carlos Sanchez, M.D.
Emergency Medicine
NPI 1649355678
4805 NE GLISAN ST
Portland, OR 97213
(503) 297-6334
✔ PECOS✔ Accepts Medicare0.1 mi
Katherine Henson, PSYD
Clinical Psychologist
NPI 1215657895
4805 NE GLISAN ST
Portland, OR 97213
(971) 219-9764
✔ PECOS✔ Accepts Medicare0.2 mi
Neda Jooya, MD
Gynecological Oncology
NPI 1588059638
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-2075
✔ PECOS✔ Accepts Medicare0.2 mi
John Zurasky, MD
Neurology
NPI 1255337572
4805 NE GLISAN ST STE 3G37
Portland, OR 97213
(503) 215-6335
✔ PECOS✔ Accepts Medicare0.2 mi
Karissa Schwartz, MA, CCC-SLP
Qualified Speech Language Pathologist
NPI 1023507795
PROVIDENCE PORTLAND MEDICAL CENTER 4805 NE GLISAN ST
Portland, OR 97213
(503) 215-1111
✔ Accepts Medicare0.2 mi
Bethany Adams, DNP, AGACNP
Nurse Practitioner
NPI 1053955047
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts Medicare0.2 mi
William Chapin, MD
Endocrinology
NPI 1083653679
4805 NE GLISAN ST STE 6N40
Portland, OR 97213
(503) 215-6601
✔ PECOS✔ Accepts Medicare0.2 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 1295105518. It was assigned to this organization in the NPPES registry on September 29, 2015. The provider is doing business as Providence Medical Group and Providence Children's Development Institute at Child Center.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 830 NE 47th Ave, Portland, OR 97213. The listed phone number is (503) 215-2233.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

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, 11 practice at this address and 1,045 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.