PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1407109937
Oral & Maxillofacial Surgery in Portland, OR
About Providence Health & Services - Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1407109937), doing business as Providence Medical Group, is a healthcare organization registered as an oral & maxillofacial surgery in Portland, Oregon and active in the NPI registry since October 2012. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Accepted Insurance
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
1,498Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 136 practice at this address and 1,050 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 56
Nearest to this location (20)
See all 1,498Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Providence Transitions carries, from the Medicare DMEPOS supplier directory.
Providence Transitions
DMEPOS supplier · Portland, OROperated by Providence Health & Services OregonAccepts Medicare assignment
Providence Transitions agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
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 1407109937. It was assigned to this organization in the NPPES registry on October 22, 2012. The provider is doing business as Providence Medical Group and Providence Oral Head and Neck Clinic.
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) 215-3053.
What is Providence Health & Services - Oregon's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
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, 136 practice at this address and 1,050 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Providence Health & Services - Oregon accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Providence Transitions accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
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 March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Providence Health & Services - Oregon · NPI 1407109937
Oral & Maxillofacial Surgery organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since October 22, 2012.
## Identity
- **NPI:** 1407109937 (Entity type: Organization)
- **Enumerated:** October 22, 2012
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **Also known as:** PROVIDENCE MEDICAL GROUP (Doing Business As); Providence Oral Head and Neck Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY ENROLLMENT
## Practice location
- **Address:** 4805 NE GLISAN ST STE 11N, Portland, OR 97213-2933
- **Phone:** (503) 215-3053 · **Fax:** (503) 215-3037
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,498 clinicians in 56 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (250), Family Practice (212), Nurse Practitioner (210); 136 practice at this address and 1,050 within 10 miles; [full list](https://npiprofile.com/npi/1407109937/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407109937) · Data from the CMS NPPES public registry.