PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1609938471
Internal Medicine in Portland, OR

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 15, 2006

9205 SW BARNES RD, MT 2800, PORTLAND, OR 97225(503) 216-2621(503) 216-7488 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, May 14, 2025, Oct 2, 2024 and 1 more (4 updates tracked since 2021).

On this page

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1609938471), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Portland, Oregon and active in the NPI registry since December 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1609938471

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address9205 SW BARNES RD, MT 2800Portland, OR 97225-6603

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

Phone(503) 216-2621

Fax(503) 216-7488

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateDecember 15, 2006

Last NPPES UpdateJune 20, 20254 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1609938471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedClinic/CenterTaxonomy 261Q00000X

9205 SW BARNES RD, Portland, OR 97225

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group At St Vincent

Other Identifiers 1

Medicaid278943OR

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, 158 practice at this address and 1,070 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

Alexis Amatisto, DO

Internal Medicine

NPI 1386263580

9205 SW BARNES RD
Portland, OR 97225

✔ PECOS✔ Accepts MedicareSame address

Shahana Baig-Lewis, M.D.

Hospitalist

NPI 1982066858

9205 SW BARNES RD
Portland, OR 97225

(503) 216-2229

✔ PECOS✔ Accepts MedicareSame address

Olga Bendinger, MD

Psychiatry

NPI 1871613802

9205 SW BARNES RD 5E
Portland, OR 97225

(503) 216-2028

✔ PECOS✔ Accepts MedicareSame address

Nicole Bishop-Perdue, MD

Pediatric Medicine

NPI 1275641060

9205 SW BARNES RD 1ST FLOOR
Portland, OR 97225

(503) 216-2906

✔ PECOS✔ Accepts MedicareSame address

Kenneth Bizovi, M.D.

Emergency Medicine

NPI 1528153228

9205 SW BARNES RD
Portland, OR 97225

(503) 297-6334

✔ PECOS✔ Accepts MedicareSame address

Kelley Burkett, M.D.

Obstetrics/Gynecology

NPI 1568637882

9205 SW BARNES RD FL 3
Portland, OR 97225

(503) 216-3388

✔ PECOS✔ Accepts MedicareSame address

Alexander Finn, AGACNP

Nurse Practitioner

NPI 1255926291

9205 SW BARNES RD
Portland, OR 97225

(503) 216-2906

✔ PECOSSame address

Jonathan Greenberg, MD

Critical Care (Intensivists)

NPI 1659834281

9205 SW BARNES RD
Portland, OR 97225

(503) 216-3194

✔ PECOS✔ Accepts MedicareSame address

Jennifer Hua, DO

Family Practice

NPI 1215551296

9205 SW BARNES RD
Portland, OR 97225

(503) 216-2906

✔ PECOS✔ Accepts MedicareSame address

Yilun Koethe, M.D.

Diagnostic Radiology

NPI 1982022778

9205 SW BARNES RD
Portland, OR 97225

(503) 216-2171

✔ PECOS✔ Accepts MedicareSame address

John Thiesing, M.D.

Interventional Radiology

NPI 1225104599

9205 SW BARNES RD
Portland, OR 97225

(503) 216-4830

✔ PECOS✔ Accepts MedicareSame address

Kelli Harrington-Bollenbaugh, SLP

Qualified Speech Language Pathologist

NPI 1992107544

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 215-3053

✔ Accepts MedicareSame address

Jamie Libera

Registered Dietitian or Nutrition Professional

NPI 1710424122

9205 SW BARNES RD
Portland, OR 97225

(503) 216-2453

Same address

Natasha Edwin, M.D.

Hematology

NPI 1063767317

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 216-6300

✔ PECOS✔ Accepts MedicareSame address

Paula Gerber-Gore, MD

Neurology

NPI 1518156504

9155 SW BARNES RD STE 440
Portland, OR 97225

(503) 935-8500

✔ PECOS✔ Accepts MedicareSame address

Kendall Johnson, L.C.S.W.

Clinical Social Worker

NPI 1073659298

9155 SW BARNES RD STE 333
Portland, OR 97225

(503) 216-5102

✔ PECOS✔ Accepts MedicareSame address

Marlyn Kato, DPT

Physical Therapist in Private Practice

NPI 1316518095

9135 SW BARNES RD STE 561
Portland, OR 97225

(503) 924-7582

Same address

Ashley Lanehurst, PHD

Clinical Psychologist

NPI 1083235105

9205 SW BARNES RD STE MT2800
Portland, OR 97225

(503) 216-2621

✔ PECOS✔ Accepts MedicareSame address

Stacy Lewis, MD

Medical Oncology

NPI 1124021753

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 216-6300

✔ PECOS✔ Accepts MedicareSame address

Emily Lin, MD

Hematology/Oncology

NPI 1598149650

9135 SW BARNES RD STE 261
Portland, OR 97225

(503) 216-6300

✔ 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.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Providence Transitions-An Appearanc carries, from the Medicare DMEPOS supplier directory.

Providence Transitions-An Appearanc

DMEPOS supplier · Portland, OROperated by Providence Health & Services Oregon

✔

Accepts Medicare assignment

Providence Transitions-An Appearanc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20483459

Medicare Participant SinceMay 11, 2015

Supplier Location9205 SW Barnes RdPortland, OR 97225

Phone(503) 216-8502

Supplier Specialties

Medical Supply Company Other

Medicare Product Categories

Breast Prostheses and/or Accessories

Prosthetic bra, Surgical bra

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Lymphedema Compression Treatment Items

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 1609938471. It was assigned to this organization in the NPPES registry on December 15, 2006. The provider is doing business as Providence Medical Group and Providence Medical Group At St Vincent.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 9205 SW Barnes Rd Mt 2800, Portland, OR 97225. The listed phone number is (503) 216-2621.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 158 practice at this address and 1,070 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Providence Health & Services - Oregon accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Providence Transitions-An Appearanc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 20, 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.