PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1700166782
Internal Medicine - Medical Oncology in Portland, OR

Active since August 23, 2011
4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213(503) 215-7920(503) 215-7905 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2026, Jun 30, 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 1700166782), doing business as Providence Medical Group, is a healthcare organization registered as a medical oncology in Portland, Oregon and active in the NPI registry since August 2011. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1700166782
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address4805 NE GLISAN ST STE 11NPortland, OR 97213-2933
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Fax(503) 215-7905
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateAugust 23, 2011
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1700166782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedClinic/CenterTaxonomy 261Q00000X
4805 NE GLISAN ST STE 11N, Portland, OR 97213

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Breast Care Clinic - East

Other Identifiers 1

Medicaid500639496OR

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

1,498

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, 136 practice at this address and 1,050 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
Nurse Practitioner
NPI 1023576659
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1350
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1962713776
4805 NE GLISAN ST STE BG05
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1578185559
4805 NE GLISAN ST STE 6N40
Portland, OR 97213
(844) 987-0491
Same address
Family Practice
NPI 1205091576
4805 NE GLISAN ST STE BG05
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts MedicareSame address
Maxillofacial Surgery
NPI 1992704878
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-3053
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1497833578
4805 NE GLISAN ST SUITE BG05
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1861494650
4805 NE GLISAN ST 6N40
Portland, OR 97213
(530) 215-5696
✔ PECOS✔ Accepts MedicareSame address
Gynecological Oncology
NPI 1912026600
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-2075
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1245400571
4805 NE GLISAN ST UNIT 3K
Portland, OR 97213
(503) 215-6150
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1336568369
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-8650
✔ PECOS✔ Accepts MedicareSame address
Preventive Medicine
NPI 1417191081
4805 NE GLISAN ST STE 6N50
Portland, OR 97213
(503) 215-7901
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1689094583
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-1111
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1083653679
4805 NE GLISAN ST STE 6N40
Portland, OR 97213
(503) 215-6601
✔ PECOS✔ Accepts MedicareSame address
Surgical Oncology
NPI 1336415140
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-8650
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1245587823
4805 NE GLISAN ST STE 6N60
Portland, OR 97213
(503) 935-8379
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1467030932
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-6199
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1710730601
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1676
✔ PECOS✔ Accepts MedicareSame address
Oral Medicinist
NPI 1063655967
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-1676
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1942634134
4805 NE GLISAN ST STE 6N40
Portland, OR 97213
(503) 215-7230
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1689871535
4805 NE GLISAN ST SUITE 6N40
Portland, OR 97213
(503) 215-5696
✔ PECOS✔ Accepts MedicareSame address
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 1700166782. It was assigned to this organization in the NPPES registry on August 23, 2011. The provider is doing business as Providence Medical Group and Providence Breast Care Clinic - East.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 4805 NE Glisan St Ste 11N, Portland, OR 97213. The listed phone number is (503) 215-7920.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

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, 136 practice at this address and 1,050 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 March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.