PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1679826317
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Portland, OR

Active since October 18, 2012
9135 SW BARNES RD, SUITE 261, PORTLAND, OR 97225(503) 215-2300(503) 215-8004 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2025, May 16, 2025 (2 updates tracked since 2025).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1679826317), doing business as Providence Medical Group, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Portland, Oregon and active in the NPI registry since October 2012. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1679826317
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address9135 SW BARNES RD, SUITE 261Portland, OR 97225-6784
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Fax(503) 215-8004
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secreatry For Enrollment · (425) 358-9786
Enumeration DateOctober 18, 2012
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1679826317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedClinic/CenterTaxonomy 261Q00000X
9135 SW BARNES RD, Portland, OR 97225

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Thoracic Surgery West

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.

Internal Medicine (Medical Oncology)
9135 SW BARNES RD, STE 261
PORTLAND, OR 97225
Urology
9135 SW BARNES RD, SUITE 663
PORTLAND, OR 97225
Otolaryngology
9135 SW BARNES RD, # 963
PORTLAND, OR 97225
Urology
9135 SW BARNES RD, STE 663
PORTLAND, OR 97225
Physical Therapist
9135 SW BARNES RD, SUITE 362
PORTLAND, OR 97225
Internal Medicine (Cardiovascular Disease)
9135 SW BARNES RD, SUITE 863
PORTLAND, OR 97225
Clinic/Center
9135 SW BARNES RD, SUITE 161
PORTLAND, OR 97225
Internal Medicine (Cardiovascular Disease)
9135 SW BARNES RD, #967
PORTLAND, OR 97225

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 1679826317. It was assigned to this organization in the NPPES registry on October 18, 2012. The provider is doing business as Providence Medical Group and Providence Thoracic Surgery West.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 9135 SW Barnes Rd Suite 261, Portland, OR 97225. The listed phone number is (503) 215-2300.

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

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

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 with the weekly NPPES data releases published by CMS.