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PROVIDENCE HEALTH & SERVICE - OREGON
NPI 1457625501
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portland, OR

Active since March 06, 2012
5050 NE HOYT ST, SUITE 511, PORTLAND, OR 97213(503) 962-1020(503) 962-1021 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2025, May 16, 2025, Jan 19, 2021 (3 updates tracked since 2021).

About Providence Health & Service - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICE - OREGON (NPI 1457625501), doing business as Providence Medical Group, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Portland, Oregon and active in the NPI registry since March 2012. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1457625501
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NamePROVIDENCE HEALTH & SERVICE - OREGON
Location Address5050 NE HOYT ST, SUITE 511Portland, OR 97213-2984
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 962-1020
Fax(503) 962-1021
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMarch 6, 2012
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1457625501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedClinic/CenterTaxonomy 261Q00000X
5050 NE HOYT ST, Portland, OR 97213
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Heart Clinic Cardiovascular Surgery East

Other Identifiers 1

Medicaid500643323OR

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.

MS. MOLLY ANNE BREDENBERG PT
Physical Therapist
5050 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-0424
ALISON MITCHELL MD
Family Medicine
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 97213
Multnomah County (503) 215-6480
JOHN EDWARD HEFFNER MD
Internal Medicine (Pulmonary Disease)
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600
DR. THERESA MARIE MORIKAWA PHARMD, BCACP
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5050 NE HOYT ST
PORTLAND, OR 97213
Multnomah County (503) 215-6296
JAMES H IMATANI, JR. M.D., PC
Surgery (Surgical Oncology)
5050 NE HOYT ST, SUITE 610
PORTLAND, OR 97213
Multnomah County (503) 467-4761
DONALD ANDREW YOUNG III MD
Urology
5050 NE HOYT ST, SUITE 514
PORTLAND, OR 97213
Multnomah County (503) 488-2323
SPECIALTY SURGERY PC
Surgery
5050 NE HOYT ST, STE 511
PORTLAND, OR 97213
Multnomah County (503) 232-0942
GRETCHEN E VANDERBEEK MD
Internal Medicine
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 97213
Multnomah County (503) 215-6600

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 & Service - Oregon's NPI number?

The NPI number for Providence Health & Service - Oregon is 1457625501. It was assigned to this organization in the NPPES registry on March 6, 2012. The provider is doing business as Providence Medical Group and Providence Heart Clinic Cardiovascular Surgery East.

Where is Providence Health & Service - Oregon located?

Providence Health & Service - Oregon is located at 5050 NE Hoyt St Suite 511, Portland, OR 97213. The listed phone number is (503) 962-1020.

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

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Service - Oregon was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.