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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1336459460
Clinic/Center in Springfield, OR

Active since October 07, 2010
960 N 16TH ST, SUITE 304, SPRINGFIELD, OR 97477(541) 744-6172 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, May 16, 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 1336459460), doing business as Providence Medical Group, is a healthcare organization registered as a clinic/center in Springfield, Oregon and active in the NPI registry since October 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1336459460
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address960 N 16TH ST, SUITE 304Springfield, OR 97477-4175
Mailing AddressPo Box 31001-4180Pasadena, CA 91110-4180
Phone(541) 744-6172
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateOctober 7, 2010
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1336459460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
960 N 16TH ST, Springfield, OR 97477
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence St Vincent Heart Clinic Heart Rhythm Springfield

Other Identifiers 1

Medicaid500630280OR

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCKENZIE MEDICAL IMAGING PC
Specialist
960 N 16TH ST, SUITE 105
SPRINGFIELD, OR 97477
Lane County (541) 726-4699
DR. PAULA F CIESIELSKI MD
Internal Medicine
960 N 16TH ST, SUITE 303
SPRINGFIELD, OR 97477
Lane County (541) 746-6815
HANNAH HORTON
Physician Assistant
960 N 16TH ST
SPRINGFIELD, OR 97477
Lane County (541) 744-6172
JOHN M ARMITAGE M.D.
Specialist
960 N 16TH ST, SUITE #304
SPRINGFIELD, OR 97477
Lane County (541) 744-8682
DR. RICHARD WHALEN MD
General Practice
960 N 16TH ST, STE. 304
SPRINGFIELD, OR 97477
Lane County (541) 746-7914
DR. PAUL L LONGSTRETH M.D.
Radiology (Diagnostic Radiology)
960 N 16TH ST, SUITE105
SPRINGFIELD, OR 97477
Lane County (541) 726-4699
M. R . IMAGING ASSOCIATES LIMITED PARTNERSHIP
Clinic/Center (Magnetic Resonance Imaging (MRI))
960 N 16TH ST, SUITE 10
SPRINGFIELD, OR 97477
Lane County (541) 726-4959
DR. KENNETH BAKER MD
Surgery
960 N 16TH ST, STE. 304
SPRINGFIELD, OR 97477
Lane County (541) 746-7914

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 1336459460. It was assigned to this organization in the NPPES registry on October 7, 2010. The provider is doing business as Providence Medical Group and Providence St Vincent Heart Clinic Heart Rhythm Springfield.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 960 N 16th St Suite 304, Springfield, OR 97477. The listed phone number is (541) 744-6172.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.