PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1629720479
Transplant Surgery in Portland, OR

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

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Active since January 24, 2022

9205 SW BARNES RD, PORTLAND, OR 97225(503) 215-1234 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2025, Jan 24, 2022 (2 updates tracked since 2022).

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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 1629720479), doing business as Providence St Vincent Mc - Cardiac Transplant, is a healthcare organization registered as a transplant surgery in Portland, Oregon and active in the NPI registry since January 2022. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1629720479

Entity TypeOrganization

Primary Taxonomy204F00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address9205 SW BARNES RDPortland, OR 97225-6603

Mailing AddressPo Box 31001-4199Pasadena, CA 91110-4199 · (503) 215-1234

Phone(503) 215-1234

Organization SubpartNo

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

Enumeration DateJanuary 24, 2022

Last NPPES UpdateMay 7, 20252 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1629720479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204F00000X

Definition

A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

9205 SW BARNES RD, Portland, OR 97225

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Other Names 1

Doing Business AsProvidence St Vincent Mc - Cardiac Transplant

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. VICTOR NGUYEN PHAM M.D.

Hospitalist