PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1689845489
Psychiatry & Neurology - Neurology in Salem, OR

Active since March 19, 2008
2478 13TH ST SE, SALEM, OR 97302(503) 362-2481 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1689845489), doing business as Prov Peds Neurology Salem, is a healthcare organization registered as a neurology in Salem, Oregon and active in the NPI registry since March 2008. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1689845489
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address2478 13TH ST SESalem, OR 97302-2522
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMarch 19, 2008
Last NPPES UpdateJuly 4, 2025
NPPES CertifiedJuly 4, 2025
✔ NPI 1689845489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedClinic/CenterTaxonomy 261Q00000X
2478 13TH ST SE, Salem, OR 97302

Other Names 2

Doing Business AsProv Peds Neurology Salem
Doing Business AsProvidence Medicalgroup

Other Identifiers 1

Medicaid279131OR

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

1,498

Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 56

Internal Medicine250
Family Practice212
Nurse Practitioner210
Hospitalist96
Neurology57
Obstetrics/Gynecology57
Physical Therapist in Private Practice54
Clinical Psychologist53
48 other specialties509

Nearest to this location (20)

See all 1,498
Plastic and Reconstructive Surgery
NPI 1366785313
875 OAK ST SE STE 4060
Salem, OR 97301
(503) 561-7000
✔ PECOS✔ Accepts Medicare1.2 mi
Certified Nurse Midwife (CNM)
NPI 1639203540
1285 LIBERTY ST SE
Salem, OR 97301
(503) 562-4040
✔ PECOS2.4 mi
Internal Medicine
NPI 1982717583
2020 CAPITOL ST NE
Salem, OR 97301
(503) 399-2424
✔ PECOS✔ Accepts Medicare2.7 mi
Family Practice
NPI 1861615668
550 SE CLAY ST WEST VALLEY HOSPITAL
Dallas, OR 97338
(503) 623-7333
✔ PECOS✔ Accepts Medicare14 mi
Psychiatry
NPI 1841308632
182 SW ACADEMY ST SUITE 30
Dallas, OR 97338
(503) 623-9289
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1326508912
1175 MOUNT HOOD AVE
Woodburn, OR 97071
(503) 982-2000
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1841797990
1475 MOUNT HOOD AVE
Woodburn, OR 97071
(971) 983-5360
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1578632469
1700 GEARY ST SE STE 400
Albany, OR 97322
(541) 812-5500
✔ PECOS✔ Accepts Medicare20 mi
Gastroenterology
NPI 1073596243
2700 SE STRATUS AVE SUITE 304
Mcminnville, OR 97128
(503) 434-6688
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1366024242
2700 SE STRATUS AVE
Mcminnville, OR 97128
(971) 901-3908
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1871525303
3517 NW SAMARITAN DR STE 201
Corvallis, OR 97330
(541) 768-5142
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1700146891
3600 NW SAMARITAN DR
Corvallis, OR 97330
(541) 768-5111
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1821242330
110 CENTER AVE
Molalla, OR 97038
(503) 529-2273
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1285067132
110 CENTER AVE
Molalla, OR 97038
(503) 829-1400
✔ PECOS✔ Accepts Medicare25 mi
Physical Therapist in Private Practice
NPI 1386996999
2101 NW PROFESSIONAL DR SUITE #2
Corvallis, OR 97330
(541) 752-0545
✔ Accepts Medicare26 mi
Certified Nurse Midwife (CNM)
NPI 1912482290
2314 NW KINGS BLVD STE A
Corvallis, OR 97330
(541) 286-4030
✔ PECOS26 mi
Obstetrics/Gynecology
NPI 1548445497
675 N 5TH ST STE 200
Lebanon, OR 97355
(541) 451-6282
✔ PECOS✔ Accepts Medicare26 mi
Clinical Psychologist
NPI 1356603948
501 E 1ST ST
Newberg, OR 97132
(503) 538-4874
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1073048450
1000 N PROVIDENCE DR STE 120
Newberg, OR 97132
(503) 537-5900
✔ PECOS✔ Accepts Medicare27 mi
Hematology/Oncology
NPI 1619031838
1000 N PROVIDENCE DR STE 310
Newberg, OR 97132
(503) 537-6040
✔ PECOS✔ Accepts Medicare27 mi
See all 1,498 clinicians

Source: 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 1689845489. It was assigned to this organization in the NPPES registry on March 19, 2008. The provider is doing business as Prov Peds Neurology Salem and Providence Medicalgroup.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 2478 13th St SE, Salem, OR 97302. The listed phone number is (503) 362-2481.

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

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.