PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1316197692
Internal Medicine - Hematology & Oncology in Portland, OR

Active since September 24, 2008
4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213(503) 215-5696 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 16, 2025, Apr 16, 2021 and 1 more (4 updates tracked since 2019).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1316197692), doing business as Providence Eastside Oncology & Hematology Clinic, is a healthcare organization registered as a hematology & oncology in Portland, Oregon and active in the NPI registry since September 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1316197692
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address4805 NE GLISAN ST STE 11NPortland, OR 97213-2933
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateSeptember 24, 2008
Last NPPES UpdateJuly 4, 20254 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
NPI 1316197692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedClinic/CenterTaxonomy 261Q00000X
4805 NE GLISAN ST STE 11N, Portland, OR 97213

Other Names 2

Doing Business AsProvidence Eastside Oncology & Hematology Clinic
Doing Business AsProvidence Medical Group

Other Identifiers 1

Medicaid270985OR

Accepted Insurance

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.

Obstetrics & Gynecology
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Nurse Practitioner (Gerontology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Oral Medicine
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Internal Medicine (Hospice and Palliative Medicine)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Internal Medicine (Hematology & Oncology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Internal Medicine (Medical Oncology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Nurse Practitioner (Gerontology)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213
Internal Medicine (Hospice and Palliative Medicine)
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213

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 1316197692. It was assigned to this organization in the NPPES registry on September 24, 2008. The provider is doing business as Providence Eastside Oncology & Hematology Clinic and Providence Medical Group.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 4805 NE Glisan St Ste 11N, Portland, OR 97213. The listed phone number is (503) 215-5696.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Providence Health Plan list Providence Health & Services - Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.