PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1376959973
Obstetrics & Gynecology in Portland, OR

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since July 03, 2014

4805 NE GLISAN ST, FAMILY MATERNITY CENTER, UNIT 3K, PORTLAND, OR 97213(503) 215-6150(503) 215-6299 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 30, 2025, May 16, 2025, Feb 17, 2025 and 1 more (4 updates tracked since 2020).

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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 1376959973), doing business as Providence Medical Group, is a healthcare organization registered as an obstetrics & gynecology in Portland, Oregon and active in the NPI registry since July 2014. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1376959973

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address4805 NE GLISAN ST, FAMILY MATERNITY CENTER, UNIT 3KPortland, OR 97213-2933

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

Phone(503) 215-6150

Fax(503) 215-6299

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateJuly 3, 2014

Last NPPES UpdateJune 30, 20254 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1376959973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedClinic/CenterTaxonomy 261Q00000X

4805 NE GLISAN ST, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Ob Hospitalists Ppmc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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.

DR. CHRISTOPHER MICHAEL BARONE

Internal Medicine

4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

TODD SHANE CROCENZI M.D.

Internal Medicine (Medical Oncology)

4805 NE GLISAN ST, 6N40
PORTLAND, OR 97213

Multnomah County (503) 215-5696

SHARON D KENNEDY NP

Registered Nurse (General Practice)

4805 NE GLISAN ST, 3E
PORTLAND, OR 97213

Multnomah County (503) 215-6494

REBECCA E CHANDLER MD

Internal Medicine

4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

MICHAEL J CLAYTON MD

Internal Medicine

4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

JAMES STUART MORGAN MD

Internal Medicine

4805 NE GLISAN ST, BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

NANCY A PHILLIPS MD

Psychiatry & Neurology (Psychiatry)

4805 NE GLISAN ST, 5L
PORTLAND, OR 97213

Multnomah County (503) 215-7669

VICKI COLLISTER ANP

Registered Nurse

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-4620

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 1376959973. It was assigned to this organization in the NPPES registry on July 3, 2014.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 4805 NE Glisan St Family Maternity Center, Unit 3K, Portland, OR 97213. The listed phone number is (503) 215-6150.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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 June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.