PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1740732650
Pathology - Clinical Pathology 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 1740732650), doing business as Providence Portland Medical Center, is a healthcare organization registered as a clinical pathology in Portland, Oregon and active in the NPI registry since October 2016. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Group Practice 1
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
676Medicare enrollment records show 676 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 109 practice at this address and 554 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 48
Nearest to this location (20)
See all 676Source: 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 1740732650. It was assigned to this organization in the NPPES registry on October 26, 2016. The provider is doing business as Providence Portland Medical Center.
Where is Providence Health & Services - Oregon located?
Providence Health & Services - Oregon is located at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-1111.
What is Providence Health & Services - Oregon's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology, with taxonomy code 207ZC0006X.
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), 676 clinicians in 48 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 Nurse Practitioner (79), Internal Medicine (72) and Family Practice (50). Of these, 109 practice at this address and 554 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 May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 1740732650
Clinical Pathology organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since October 26, 2016.
## Identity
- **NPI:** 1740732650 (Entity type: Organization)
- **Enumerated:** October 26, 2016
- **Primary specialty:** Pathology - Clinical Pathology · taxonomy 207ZC0006X
- **Also known as:** Providence Portland Medical Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY ENROLLMENTS
## Practice location
- **Address:** 4805 NE GLISAN ST, Portland, OR 97213-2933
- **Phone:** (503) 215-1111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 676 clinicians in 48 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (79), Internal Medicine (72), Family Practice (50); 109 practice at this address and 554 within 10 miles; [full list](https://npiprofile.com/npi/1740732650/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1740732650) · Data from the CMS NPPES public registry.