PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1679678866
Family Medicine in Portland, OR

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 13, 2006

4104 SE 82ND AVE, SUITE 250, PORTLAND, OR 97266(503) 215-9850(503) 215-9855 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, May 16, 2025, Jun 13, 2024 and 1 more (4 updates tracked since 2020).

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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 1679678866), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Portland, Oregon and active in the NPI registry since September 2006. The organization lists Donald Wayne Anderson, Asst Sec Enroll, as its authorized official.

NPPES Registry Identity

NPI1679678866

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address4104 SE 82ND AVE, SUITE 250Portland, OR 97266-2954

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

Phone(503) 215-9850

Fax(503) 215-9855

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAsst Sec Enroll · (425) 358-9786

Enumeration DateSeptember 13, 2006

Last NPPES UpdateJune 30, 20254 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1679678866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

4104 SE 82ND AVE, Portland, OR 97266

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group Southeast Family Medicine

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

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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE MARIE MCKAY D.M.D

Dentist

4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266

Multnomah County (503) 771-4324

CLAUDIA ADLER MD

Student in an Organized Health Care Education/Training Program

4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

MR. STOTZ THODA JR. D.O.

Family Medicine

4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

DOUGLAS E RAY FNP

Nurse Practitioner (Family)

4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

CHARISSA E ROGERS MD

Student in an Organized Health Care Education/Training Program

4104 SE 82ND AVE, STE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

THOMAS M SCHWARTZ MD

Family Medicine

4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

MRS. CYNTHIA ANN ALLEN R.D.H.

Dental Hygienist

4104 SE 82ND AVE, SUITE 450
PORTLAND, OR 97266

Multnomah County (503) 771-4324

MARIETTA H CHOE MD

Family Medicine

4104 SE 82ND AVE, SUITE 250
PORTLAND, OR 97266

Multnomah County (503) 215-9850

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 1679678866. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as Providence Medical Group and Providence Medical Group Southeast Family Medicine.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 4104 SE 82nd Ave Suite 250, Portland, OR 97266. The listed phone number is (503) 215-9850.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 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.