PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1396067773
Internal Medicine in Oregon City, OR

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 25, 2010

1500 DIVISION ST, OREGON CITY, OR 97045(503) 216-4329 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, May 16, 2025, Jun 19, 2024 and 1 more (4 updates tracked since 2021).

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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 1396067773), doing business as Providence Hospitalists Wf, is a healthcare organization registered as an internal medicine in Oregon City, Oregon and active in the NPI registry since February 2010. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1396067773

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address1500 DIVISION STOregon City, OR 97045-1527

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

Phone(503) 216-4329

Organization SubpartNo

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

Enumeration DateFebruary 25, 2010

Last NPPES UpdateJune 30, 20254 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1396067773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedClinic/CenterTaxonomy 261Q00000X

1500 DIVISION ST, Oregon City, OR 97045

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Other Names 2

Doing Business AsProvidence Hospitalists Wf

Doing Business AsProvidence Medical Group

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,498

Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 187 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 56

Internal Medicine250

Family Practice212

Nurse Practitioner210

Hospitalist96

Neurology57

Obstetrics/Gynecology57

Physical Therapist in Private Practice54

Clinical Psychologist53

48 other specialties509

Nearest to this location (20)

See all 1,498

Zachary Amos, DO

Internal Medicine

NPI 1831776582

1500 DIVISION ST
Oregon City, OR 97045

(503) 656-1631

✔ PECOS✔ Accepts MedicareSame address

Megan Ayers, FNP

Nurse Practitioner

NPI 1043093206

1500 DIVISION ST STE 220
Oregon City, OR 97045

(503) 513-1900

✔ PECOS✔ Accepts MedicareSame address

Amit Barve, MD

Hospitalist

NPI 1760667059

1500 DIVISION ST
Oregon City, OR 97045

(503) 650-6270

✔ PECOS✔ Accepts MedicareSame address

Diane Brace, FNP-BC

Nurse Practitioner

NPI 1598427296

1500 DIVISION ST
Oregon City, OR 97045

(503) 650-6270

✔ PECOSSame address

Antonio Cordova, MD

Internal Medicine

NPI 1205402245

1500 DIVISION ST
Oregon City, OR 97045

(503) 650-6270

✔ PECOS✔ Accepts MedicareSame address

Tian Davis, D.O.

Hospitalist

NPI 1285970343

1500 DIVISION ST
Oregon City, OR 97045

(503) 650-6270

✔ PECOS✔ Accepts MedicareSame address

Kenneth Ensroth, MD

Psychiatry

NPI 1770599185

1500 DIVISION ST CHILD CLINIC
Oregon City, OR 97045

(503) 722-3700

✔ PECOS✔ Accepts MedicareSame address

Madeline Hoon, DO

Internal Medicine

NPI 1144970633

1500 DIVISION ST
Oregon City, OR 97045

(503) 650-6270

✔ PECOS✔ Accepts MedicareSame address

Poorni Manohar, MD

Hematology

NPI 1912343807

1500 DIVISION ST STE 220
Oregon City, OR 97045

(503) 513-1900

✔ PECOS✔ Accepts MedicareSame address

Jesus Moreno, M.D.

Hospitalist

NPI 1710113386

1500 DIVISION ST
Oregon City, OR 97045

(503) 650-6270

✔ PECOS✔ Accepts MedicareSame address

Rubama Nasir, DO

Family Practice

NPI 1629698675

1500 DIVISION ST
Oregon City, OR 97045

(503) 650-6270

✔ PECOS✔ Accepts MedicareSame address

Shane Rogosin, MD

Medical Oncology

NPI 1447451794

1500 DIVISION ST STE 220
Oregon City, OR 97045

(503) 513-1900

✔ PECOS✔ Accepts MedicareSame address

Krin Walta, DO

Psychiatry

NPI 1578966362

1500 DIVISION ST FL 2
Oregon City, OR 97045

(503) 574-9235

✔ PECOSSame address

Thomas Huber, MD

Gastroenterology

NPI 1740205830

1510 DIVISION ST STE 210
Oregon City, OR 97045

(503) 723-6525

✔ PECOS✔ Accepts MedicareSame address

Kevin Jamison, MD

Neurology

NPI 1003811373

1510 DIVISION ST STE 180
Oregon City, OR 97045

(503) 742-6900

✔ PECOS✔ Accepts MedicareSame address

John Domreis, M.D.

General Surgery

NPI 1629168646

1510 DIVISION ST STE 210
Oregon City, OR 97045

(503) 723-6525

✔ PECOS✔ Accepts MedicareSame address

William Davies, M.D.

Cardiovascular Disease (Cardiology)

NPI 1154327625

1510 DIVISION ST STE 200
Oregon City, OR 97045

(503) 962-1000

✔ PECOS✔ Accepts MedicareSame address

Shannon Ehleringer, D.O.

Family Practice

NPI 1568606770

1510 DIVISION ST STE 200
Oregon City, OR 97045

(503) 650-6880

✔ PECOS✔ Accepts MedicareSame address

Melissa Lin, M.D.

General Surgery

NPI 1659735751

1510 DIVISION ST STE 210
Oregon City, OR 97045

(503) 723-6525

✔ PECOS✔ Accepts MedicareSame address

Steven Riley, M.D.

Cardiovascular Disease (Cardiology)

NPI 1073625703

1510 DIVISION ST STE 200
Oregon City, OR 97045

(503) 962-1000

✔ PECOS✔ Accepts MedicareSame address

See all 1,498 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1396067773. It was assigned to this organization in the NPPES registry on February 25, 2010. The provider is doing business as Providence Hospitalists Wf and Providence Medical Group.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1500 Division St, Oregon City, OR 97045. The listed phone number is (503) 216-4329.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,498 clinicians in 56 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (250), Family Practice (212) and Nurse Practitioner (210). Of these, 29 practice at this address and 187 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16 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.