PROVIDENCE HEALTH & SERVICES OREGON
NPI 1346751443
General Practice in Portland, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1346751443. It was assigned to this organization in the NPPES registry on October 16, 2017. The provider is doing business as Providence Medical Group.

Q: What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 16, 2017

4400 NE HALSEY ST,, POP 2, 3RD FLOOR, PORTLAND, OR 97213(866) 876-2783(503) 893-6680 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 4, 2025, May 16, 2025, Oct 16, 2017 (3 updates tracked since 2017).

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About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1346751443), doing business as Providence Medical Group, is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since October 2017. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1346751443

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address4400 NE HALSEY ST,, POP 2, 3RD FLOORPortland, OR 97213-1545

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(866) 876-2783

Fax(503) 893-6680

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateOctober 16, 2017

Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1346751443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4400 NE HALSEY ST,, Portland, OR 97213

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Other Names 1

Doing Business AsProvidence Medical Group

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

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 1346751443. It was assigned to this organization in the NPPES registry on October 16, 2017. The provider is doing business as Providence Medical Group.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 4400 NE Halsey St, Pop 2, 3rd Floor, Portland, OR 97213. The listed phone number is (866) 876-2783.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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 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.