PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1588066906
Integrative Medicine in Portland, OR

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

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Active since September 17, 2014

9135 SW BARNES RD, SUITE 261, PORTLAND, OR 97225(503) 216-0246(503) 216-0247 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Sep 29, 2024 (2 updates tracked since 2024).

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About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1588066906), doing business as Providence Medical Group, is a healthcare organization registered as an integrative medicine in Portland, Oregon and active in the NPI registry since September 2014. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1588066906

Entity TypeOrganization

Primary Taxonomy202D00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address9135 SW BARNES RD, SUITE 261Portland, OR 97225-6784

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(503) 216-0246

Fax(503) 216-0247

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 525-5392

Enumeration DateSeptember 17, 2014

Last NPPES UpdateJune 30, 20252 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1588066906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code202D00000X

Definition

A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

Also ListedClinic/CenterTaxonomy 261Q00000X

9135 SW BARNES RD, Portland, OR 97225

Open in Google Maps ↗

Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Integrative Medicine West

Accepted Insurance

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

1,498

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, 127 practice at this address and 1,071 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

Prakash Ambady, M.D.

Neurology

NPI 1962784298

9135 SW BARNES RD STE 461
Portland, OR 97225

(503) 216-1150

✔ PECOS✔ Accepts MedicareSame address

Margaret Armstrong, OTD, OTR/L

Occupational Therapist in Private Practice

NPI 1750026803

9135 SW BARNES RD STE 561
Portland, OR 97225

(503) 216-2339

Same address

Victoria Ball, DPT

Physical Therapist in Private Practice

NPI 1336906320

9135 SW BARNES RD STE 561
Portland, OR 97225

(503) 216-2339

Same address

Lan Ban, MD

Internal Medicine

NPI 1134500358

9135 SW BARNES RD STE 763
Portland, OR 97225

(503) 216-8250

✔ PECOS✔ Accepts MedicareSame address

Paige Blacklock, CF-SLP

Qualified Speech Language Pathologist

NPI 1700570876

9135 SW BARNES RD STE 561
Portland, OR 97225

(503) 216-2339

Same address

Heather Carte, FNP

Nurse Practitioner

NPI 1356930051

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 216-6300

✔ PECOS✔ Accepts MedicareSame address

Chelsey Chen, CNM, ARNP, RN

Certified Nurse Midwife (CNM)

NPI 1184337065

9135 SW BARNES RD STE 761
Portland, OR 97225

(503) 216-2602

✔ PECOSSame address

Navjit Dharampal, MD, MTM

Thoracic Surgery

NPI 1821607201

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 215-2300

✔ PECOS✔ Accepts MedicareSame address

Salome Dodge, D.O.

Obstetrics/Gynecology

NPI 1578990750

9135 SW BARNES RD STE 761
Portland, OR 97225

(503) 216-2602

✔ PECOS✔ Accepts MedicareSame address

Stephanie Entrikin, RD, LD

Registered Dietitian or Nutrition Professional

NPI 1962128140

9135 SW BARNES RD STE 561
Portland, OR 97225

(503) 924-7582

Same address

Lauren Fisher, MD

Physical Medicine and Rehabilitation

NPI 1215253778

9135 SW BARNES RD STE 461
Portland, OR 97225

(503) 215-8699

✔ PECOS✔ Accepts MedicareSame address

Evthokia Hobbs, M.D.

Medical Oncology

NPI 1326433475

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 216-6300

✔ PECOS✔ Accepts MedicareSame address

Emily Jernigan, AUD

Qualified Audiologist

NPI 1164393583

9135 SW BARNES RD STE 561
Portland, OR 97225

(206) 825-9654

Same address

Iris Malit, M.D.

Pediatric Medicine

NPI 1578996518

9135 SW BARNES RD STE 561
Portland, OR 97225

(503) 216-2339

✔ PECOSSame address

Andrew Rodriguez, PHD

Clinical Psychologist

NPI 1245885169

9135 SW BARNES RD STE 561
Portland, OR 97225

(503) 216-2339

✔ PECOSSame address

Hyun Suh, MD

Endocrinology

NPI 1952450561

9135 SW BARNES RD SUITE 317
Portland, OR 97225

(503) 297-3336

✔ PECOS✔ Accepts MedicareSame address

Kimberly Wirth, LPC

Mental Health Counselor

NPI 1730831140

9135 SW BARNES RD STE 987
Portland, OR 97225

(503) 216-2811

✔ PECOSSame address

Regan Duffy, MD

Hematology/Oncology

NPI 1487876827

9135 SW BARNES RD SUITE 261
Portland, OR 97225

(503) 216-6300

✔ PECOS✔ Accepts MedicareSame address

Alejandro Ruiz-Elizalde, M.D.

General Surgery

NPI 1184873820

9135 SW BARNES RD STE 763
Portland, OR 97225

(503) 216-6560

✔ PECOSSame address

Nabil Al-Kourainy, MD

Infectious Disease

NPI 1902339971

9155 SW BARNES RD STE 638
Portland, OR 97225

(503) 216-7000

✔ PECOS✔ Accepts MedicareSame address

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 1588066906. It was assigned to this organization in the NPPES registry on September 17, 2014. The provider is doing business as Providence Medical Group and Providence Integrative Medicine West.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 9135 SW Barnes Rd Suite 261, Portland, OR 97225. The listed phone number is (503) 216-0246.

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

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

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, 127 practice at this address and 1,071 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 June 30, 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.