PROVIDENCE HEALTH & SERVICES OREGON
NPI 1457689598
Clinic/Center - Occupational Medicine in Clackamas, 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 1457689598), doing business as Prov Health Sys-or Shared-svs Div, is a healthcare organization registered as an occupational medicine in Clackamas, Oregon and active in the NPI registry since December 2009. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
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
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 22Source: 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 1457689598. It was assigned to this organization in the NPPES registry on December 1, 2009. The provider is doing business as Prov Health Sys-OR Shared-Svs Div. The provider is also known as Providence Occupational Medicine-Clackamas.
Where is Providence Health & Services Oregon located?
Providence Health & Services Oregon is located at 9290 SE Sunnybrook Blvd Suite 210, Clackamas, OR 97015. The listed phone number is (503) 216-7960.
What is Providence Health & Services Oregon's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.
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), 22 clinicians in 4 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 Hospice/Palliative Care (9), Nurse Practitioner (6) and Internal Medicine (4). Of these, 17 practice 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 8, 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.
# Providence Health & Services Oregon · NPI 1457689598
Occupational Medicine organization in Clackamas, Oregon. Organization record, active in the CMS NPPES registry since December 1, 2009.
## Identity
- **NPI:** 1457689598 (Entity type: Organization)
- **Enumerated:** December 1, 2009
- **Primary specialty:** Clinic/Center - Occupational Medicine · taxonomy 261QX0100X
- **Also known as:** Prov Health Sys-OR Shared-Svs Div (Doing Business As); Providence Occupational Medicine-Clackamas (Other Name)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECREATRY FOR ENROLLMENT
## Practice location
- **Address:** 9290 SE SUNNYBROOK BLVD, SUITE 210, Clackamas, OR 97015
- **Phone:** (503) 216-7960 · **Fax:** (503) 216-2823
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hospice/Palliative Care (9), Nurse Practitioner (6), Internal Medicine (4); 17 practice within 10 miles; [full list](https://npiprofile.com/npi/1457689598/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457689598) · Data from the CMS NPPES public registry.