PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1437442795
Internal Medicine - Cardiovascular Disease in Gresham, OR

Active since May 19, 2011
440 NW DIVISION ST, GRESHAM, OR 97030(503) 962-1000(503) 963-3005 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 4, 2025, May 16, 2025, Sep 17, 2020 (3 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1437442795), doing business as Providence Medical Group, is a healthcare organization registered as a cardiovascular disease in Gresham, Oregon and active in the NPI registry since May 2011. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1437442795
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address440 NW DIVISION STGresham, OR 97030-5506
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Fax(503) 963-3005
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMay 19, 2011
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1437442795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedClinic/CenterTaxonomy 261Q00000X
440 NW DIVISION ST, Gresham, OR 97030

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Heart Clinic Gresham

Other Identifiers 1

Medicaid500639264OR

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, 11 practice at this address and 464 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
Family Practice
NPI 1821245788
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1730133679
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1285283358
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114489093
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1487949582
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1700872785
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558975151
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1447323878
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1689605776
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1659759421
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154915338
440 NW DIVISION ST
Gresham, OR 97030
(503) 215-9500
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1821763053
270 NW BURNSIDE RD
Gresham, OR 97030
(503) 215-9141
0.3 mi
Nurse Practitioner
NPI 1588272710
1859 NW CIVIC DR
Gresham, OR 97030
(503) 962-1000
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1255369559
24800 SE STARK ST
Gresham, OR 97030
(503) 413-8407
✔ PECOS✔ Accepts Medicare1.7 mi
Certified Nurse Midwife (CNM)
NPI 1457326662
24850 SE STARK ST STE 200
Gresham, OR 97030
(503) 491-9444
✔ PECOS1.7 mi
Certified Nurse Midwife (CNM)
NPI 1336403468
24850 SE STARK ST STE 200
Gresham, OR 97030
(503) 941-9444
✔ PECOS1.7 mi
Family Practice
NPI 1356405690
2850 SE POWELL VALLEY RD
Gresham, OR 97080
(503) 666-5050
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1922463587
18000 SE STARK ST
Portland, OR 97233
(503) 489-0567
✔ PECOS2.3 mi
Clinical Psychologist
NPI 1992014120
1206 SE 163RD PL
Portland, OR 97233
(503) 383-1035
✔ PECOS✔ Accepts Medicare3.0 mi
Clinical Social Worker
NPI 1508100561
832 NE 162ND AVE BLDG F
Portland, OR 97230
(503) 408-5024
✔ PECOS3.3 mi
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 1437442795. It was assigned to this organization in the NPPES registry on May 19, 2011. The provider is doing business as Providence Medical Group and Providence Heart Clinic Gresham.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 440 NW Division St, Gresham, OR 97030. The listed phone number is (503) 962-1000.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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, 11 practice at this address and 464 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 July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.