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PROVIDENCE OCCUPATIONAL MEDICINE-TANASBOURNE/BRIDGEPORT
NPI 1306174438
Clinic/Center - Occupational Medicine in Hillsboro, OR

Active since December 01, 2009
18610 NW CORNELL RD, SUITE 204, HILLSBORO, OR 97124(503) 216-7960(503) 216-0211 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1306174438
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address18610 NW CORNELL RD, SUITE 204Hillsboro, OR 97124-9204
Mailing AddressPo Box 4388Portland, OR 97208-4388 · (503) 216-7960 · Fax (503) 215-6387
Phone(503) 216-7960
Fax(503) 216-0211
Organization SubpartNo
Authorized OfficialDonald W AndersonReimbursement Director-administrati · (425) 525-5392
Enumeration DateDecember 1, 2009
Last NPPES UpdateMarch 30, 2017
✔ NPI 1306174438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
18610 NW CORNELL RD, Hillsboro, OR 97124
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Other Names 1

Doing Business AsProvidence Occupational Medicine-tanasbourne/bridgeport

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0972454

Providence Occupational Medicine Tanasbourne · Hillsboro, OR
Expired · Apr 6, 2026
CLIA Number38D0972454
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2024
Certificate Expiration DateApril 6, 2026
Laboratory DirectorWalaa Abdelmoaty
Laboratory Phone(503) 216-7960
Laboratory LocationProvidence Occupational Medicine Tanasbourne10670 NE Cornell Rd, Ste 204, Hillsboro, OR 97124
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

BETTY L SIMNITT FNP
Nurse Practitioner (Family)
18610 NW CORNELL RD, STE 100
HILLSBORO, OR 97124
Washington County (503) 216-9360
JOHN KINGMAN MD
Family Medicine
18610 NW CORNELL RD, SUITE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300
MARSHA D WARE MD
Internal Medicine
18610 NW CORNELL RD, SUITE 101
HILLSBORO, OR 97124
Washington County (503) 216-9360
LAURENCE GEORGE BROWN M.D.
Family Medicine
18610 NW CORNELL RD, SUITE 300
HILLSBORO, OR 97124
Washington County (503) 216-9300
PHYLLIS C GILMORE MD
Family Medicine
18610 NW CORNELL RD, SUITE 101
HILLSBORO, OR 97124
Washington County (503) 216-9360
FRANK ALBERT DIGREGORIO MD
Pediatrics
18610 NW CORNELL RD, SUITE 100
HILLSBORO, OR 97124
Washington County (503) 216-9360
MR. IAN LOCHEIL BARTON CFNP
Nurse Practitioner (Family)
18610 NW CORNELL RD, STE 101
HILLSBORO, OR 97124
Washington County (503) 216-9360
DR. JUNE A LEE M.D.
Pediatrics
18610 NW CORNELL RD, SUITE 101
HILLSBORO, OR 97124
Washington County (503) 216-9360

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.

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.

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 with the weekly NPPES data releases published by CMS.