PROVIDENCE HEALTH & SERVICES OREGON
NPI 1700987401
Internal Medicine in Hillsboro, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1700987401. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Providence Medical Group and Providence Medical Group Tanasbourne Immediate Care.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 26, 2006

10670 NE CORNELL RD STE 101, HILLSBORO, OR 97124(503) 216-9360 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2026, Jun 30, 2025, Jul 9, 2018 (3 updates tracked since 2018).

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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 1700987401), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Hillsboro, Oregon and active in the NPI registry since September 2006. The organization lists Donald Wayne Anderson, Asst Corp Secretary For Enrollments, as its authorized official.

NPPES Registry Identity

NPI1700987401

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address10670 NE CORNELL RD STE 101Hillsboro, OR 97124-9221

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 216-9360

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAsst Corp Secretary For Enrollments · (425) 525-5392

Enumeration DateSeptember 26, 2006

Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1700987401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedClinic/CenterTaxonomy 261Q00000X

10670 NE CORNELL RD STE 101, Hillsboro, OR 97124

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group Tanasbourne Immediate Care

Other Identifiers 1

Medicaid022870OR

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, 10 practice at this address and 610 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

Hyrum Durtschi, D.O.

Family Practice

NPI 1841336633

10670 NE CORNELL RD STE 300
Hillsboro, OR 97124

(503) 216-9300

✔ PECOS✔ Accepts MedicareSame address

Gabrielle Hendel, DO

Family Practice

NPI 1861885717

10670 NE CORNELL RD STE 101
Hillsboro, OR 97124

(503) 216-9360

✔ PECOS✔ Accepts MedicareSame address

Brandon Bartlett, MD

Family Practice

NPI 1306580931

10670 NE CORNELL RD STE 201
Hillsboro, OR 97124

(503) 216-9300

✔ PECOSSame address

Traci Ackron, D.O.

Family Practice

NPI 1336588789

10670 NE CORNELL RD STE 300
Hillsboro, OR 97124

(503) 216-9300

✔ PECOS✔ Accepts MedicareSame address

Siobhan Conley, FNP

Nurse Practitioner

NPI 1407811433

10670 NE CORNELL RD STE 101
Hillsboro, OR 97124

(503) 216-9360

✔ PECOS✔ Accepts MedicareSame address

Sekou Ford, MD

Family Practice

NPI 1538138276

18610 NW CORNELL RD STE 101
Hillsboro, OR 97124

(503) 216-9360

✔ PECOS✔ Accepts MedicareSame address

Lindsay Kuo, PSYD

Clinical Psychologist

NPI 1003305970

10670 NE CORNELL RD STE 300
Hillsboro, OR 97124

(503) 216-9300

✔ PECOS✔ Accepts MedicareSame address

Seungeun Lee, PH.D

Clinical Psychologist

NPI 1184249161

10670 NE CORNELL RD STE 300
Hillsboro, OR 97124

(503) 216-9300

✔ PECOS✔ Accepts MedicareSame address

Joeann Pansoy, NP

Nurse Practitioner

NPI 1679055594

10670 NE CORNELL RD STE 101
Hillsboro, OR 97124

(503) 215-9360

✔ PECOS✔ Accepts MedicareSame address

Mary Stoddard, FNP-C

Nurse Practitioner

NPI 1811435373

10670 NE CORNELL RD STE 101
Hillsboro, OR 97124

(503) 216-9360

✔ PECOS✔ Accepts MedicareSame address

Yi-Huei Kang, MD

Internal Medicine

NPI 1528641545

10690 NE CORNELL RD STE 215
Hillsboro, OR 97124

(503) 216-5240

✔ PECOS✔ Accepts Medicare0.1 mi

Christina Fyfe, FNP

Nurse Practitioner

NPI 1912002775

18610 NW CORNELL RD SUITE 101
Hillsboro, OR 97124

(503) 216-9360

✔ PECOS✔ Accepts Medicare0.1 mi

Michelle Hall, M.D.

Family Practice

NPI 1457337859

18610 NW CORNELL RD SUITE 300
Hillsboro, OR 97124

(503) 216-9300

✔ PECOS✔ Accepts Medicare0.1 mi

Hina Khan, MD

Family Practice

NPI 1912136011

18610 NW CORNELL RD STE 300
Hillsboro, OR 97124

(503) 216-9300

✔ PECOS✔ Accepts Medicare0.1 mi

Sreedevi Pitta, MD

Family Practice

NPI 1780631655

18610 NW CORNELL RD SUITE 300
Hillsboro, OR 97124

(503) 216-9300

✔ PECOS✔ Accepts Medicare0.1 mi

Vanessa Vanderpool, M.D.

Family Practice

NPI 1154555498

18610 NW CORNELL RD SUITE 101
Hillsboro, OR 97124

(503) 216-9360

✔ PECOS✔ Accepts Medicare0.1 mi

Erica Hadley, MD

Pediatric Medicine

NPI 1134534928

10060 NE EVERGREEN PKWY
Hillsboro, OR 97124

(800) 813-2000

✔ PECOS0.6 mi

Mehdi Mirtorabi, MD

Internal Medicine

NPI 1679509111

2155 NW 173RD AVE SUITE 102
Beaverton, OR 97006

(503) 531-9990

✔ PECOS✔ Accepts Medicare0.8 mi

Nandish Dayal, FNP

Nurse Practitioner

NPI 1235665522

15640 NW LAIDLAW RD STE 102
Portland, OR 97229

(503) 764-0100

✔ PECOS✔ Accepts Medicare2.2 mi

Lori Gluck, MD

Family Practice

NPI 1225000334

15640 NW LAIDLAW RD SUITE 102
Portland, OR 97229

(503) 764-0100

✔ PECOS2.2 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 1700987401. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Providence Medical Group and Providence Medical Group Tanasbourne Immediate Care.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 10670 NE Cornell Rd Ste 101, Hillsboro, OR 97124. The listed phone number is (503) 216-9360.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 10 practice at this address and 610 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 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.