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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1578854857
Internal Medicine - Cardiovascular Disease in Portland, OR

Active since April 21, 2011
4400 NE HALSEY ST STE 102, PORTLAND, OR 97213(503) 962-1000 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Jun 30, 2025, May 16, 2025 and 2 more (5 updates tracked since 2021).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1578854857), doing business as Providence Medical Group, is a healthcare organization registered as a cardiovascular disease in Portland, Oregon and active in the NPI registry since April 2011. The organization maintains a secondary practice location in Portland and lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1578854857
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address4400 NE HALSEY ST STE 102Portland, OR 97213-1545
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 962-1000
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 21, 2011
Last NPPES UpdateMarch 23, 20265 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1578854857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
4400 NE HALSEY ST STE 102, Portland, OR 97213
Open in Google Maps ↗

Other Names 3

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Heart Clinic Hollywood
Doing Business AsProvidence Heart Clinic At The Oregon Clinic Gateway

Secondary Practice Location 1

Location 11111 NE 99th Ave, Suite 201Portland, OR 97220-9442 · Phone (503) 962-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

CINDY M FULTON PA-C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
JACQUELINE ANA LEVENE DO
Internal Medicine
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
SALEEMAH WAJEEDAH SMITH PA-C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
KRISTIN H BOURRET PAC
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
DALE DOUGLAS HIRSCH MD
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
DR. JASON SHAWN BENSCH M.D.
Internal Medicine (Cardiovascular Disease)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
MR. SHANNON I LEWIS PA C
Physician Assistant
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000
MS. NICOLE N RANSBOTTOM AGACNP
Nurse Practitioner (Acute Care)
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213
Multnomah County (503) 962-1000

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 1578854857. It was assigned to this organization in the NPPES registry on April 21, 2011. The provider is doing business as Providence Medical Group, Providence Heart Clinic Hollywood and Providence Heart Clinic at The Oregon Clinic Gateway.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 4400 NE Halsey St Ste 102, Portland, OR 97213. 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.

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 4 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.