PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1659451086
Surgery - Pediatric Surgery in Portland, OR

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

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Active since October 17, 2006

1321 NE 99TH AVE, SUITE 200, PORTLAND, OR 97220(503) 216-8654(503) 216-8658 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2025, May 16, 2025 (2 updates tracked since 2025).

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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 1659451086), doing business as Providence Medical Group, is a healthcare organization registered as a pediatric surgery in Portland, Oregon and active in the NPI registry since October 2006. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1659451086

Entity TypeOrganization

Primary Taxonomy2086S0120X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address1321 NE 99TH AVE, SUITE 200Portland, OR 97220-9436

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 216-8654

Fax(503) 216-8658

Organization SubpartYes

Authorized OfficialDonald Wayne AndersonAssistant Secreatry For Enrollment · (425) 358-9786

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1659451086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

1321 NE 99TH AVE, Portland, OR 97220

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Pediatric Specialties Iii

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

KIMBERLY A SMITH-CUPANI MD

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

PROVIDENCE HEALTH & SERVICES - OREGON

Internal Medicine

1321 NE 99TH AVE, SUITE 100
PORTLAND, OR 97220

Multnomah County (503) 215-9900

THUY LIEN THI HOANG MD

Family Medicine

1321 NE 99TH AVE, STE 100
PORTLAND, OR 97220

Multnomah County (503) 215-9900

KIMBERLY A SHIELDS DO

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

MARIA LUISA CONSTANTE MD

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

MAHNAZ AHMAD M.D.

Internal Medicine

1321 NE 99TH AVE, STE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

DANIEL M ROSENBERG MD

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

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 1659451086. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Providence Medical Group and Providence Pediatric Specialties III.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1321 NE 99th Ave Suite 200, Portland, OR 97220. The listed phone number is (503) 216-8654.

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

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.