PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1679678866
Family Medicine in Portland, OR
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
Specialties & Licenses 3
Other Names 2
Group Practice 1
Accepted 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
1,498Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 1,051 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 56
Nearest to this location (20)
See all 1,498Source: 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 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.
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, 1 practice at this address and 1,051 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.
# Providence Health & Services - Oregon · NPI 1679678866
Family Medicine organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1679678866 (Entity type: Organization)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** PROVIDENCE MEDICAL GROUP (Doing Business As); PROVIDENCE MEDICAL GROUP SOUTHEAST FAMILY MEDICINE (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASST SEC ENROLL
## Practice location
- **Address:** 4104 SE 82ND AVE, SUITE 250, Portland, OR 97266-2954
- **Phone:** (503) 215-9850 · **Fax:** (503) 215-9855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,498 clinicians in 56 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (250), Family Practice (212), Nurse Practitioner (210); 1 practice at this address and 1,051 within 10 miles; [full list](https://npiprofile.com/npi/1679678866/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679678866) · Data from the CMS NPPES public registry.