PROVIDENCE OCCUPATIONAL MEDICINE-TANASBOURNE/BRIDGEPORT
NPI 1306174438
Clinic/Center - Occupational Medicine in Hillsboro, OR
About Providence Occupational Medicine-tanasbourne/bridgeport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE OCCUPATIONAL MEDICINE-TANASBOURNE/BRIDGEPORT (NPI 1306174438) is a healthcare organization registered as an occupational medicine in Hillsboro, Oregon and active in the NPI registry since December 2009. The organization lists Donald W Anderson, Reimbursement Director-administrati, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Occupational Medicine-tanasbourne/bridgeport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Providence Occupational Medicine-Tanasbourne/Bridgeport, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 22Source: 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 1306174438. It was assigned to this organization in the NPPES registry on December 1, 2009. The provider is doing business as Providence Occupational Medicine-Tanasbourne/Bridgeport.
Where is Providence Health & Services - Oregon located?
Providence Health & Services - Oregon is located at 18610 NW Cornell Rd Suite 204, Hillsboro, OR 97124. The listed phone number is (503) 216-7960.
What is Providence Health & Services - Oregon's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.
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), 22 clinicians in 4 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 Hospice/Palliative Care (9), Nurse Practitioner (6) and Internal Medicine (4). Of these, 2 practice 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 March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Providence Occupational Medicine-Tanasbourne/bridgeport · NPI 1306174438
Occupational Medicine organization in Hillsboro, Oregon. Organization record, active in the CMS NPPES registry since December 1, 2009.
## Identity
- **NPI:** 1306174438 (Entity type: Organization)
- **Enumerated:** December 1, 2009
- **Primary specialty:** Clinic/Center - Occupational Medicine · taxonomy 261QX0100X
- **Legal business name:** Providence Health & Services - Oregon
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, REIMBURSEMENT DIRECTOR-ADMINISTRATI
## Practice location
- **Address:** 18610 NW CORNELL RD, SUITE 204, Hillsboro, OR 97124-9204
- **Phone:** (503) 216-7960 · **Fax:** (503) 216-0211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hospice/Palliative Care (9), Nurse Practitioner (6), Internal Medicine (4); 2 practice within 10 miles; [full list](https://npiprofile.com/npi/1306174438/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1306174438) · Data from the CMS NPPES public registry.