PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1750482451
Pediatrics in Portland, OR

Active since September 26, 2006
9427 SW BARNES RD, SUITE 396, PORTLAND, OR 97225(503) 215-6550(503) 216-6575 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 30, 2025, Apr 16, 2021 (2 updates tracked since 2021).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1750482451), doing business as Providence Medical Group, is a healthcare organization registered as a pediatrics in Portland, Oregon and active in the NPI registry since September 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1750482451
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address9427 SW BARNES RD, SUITE 396Portland, OR 97225-6652
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Fax(503) 216-6575
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1750482451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/CenterTaxonomy 261Q00000X
9427 SW BARNES RD, Portland, OR 97225

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Southwest Pediatric Clinic

Other Identifiers 1

Medicaid269958OR

Accepted Insurance

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.

Advanced Practice Midwife
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Surgery
9427 SW BARNES RD, SUITE 596
PORTLAND, OR 97225
Nurse Practitioner (Family)
9427 SW BARNES RD, SUITE 595
PORTLAND, OR 97225
Pediatrics
9427 SW BARNES RD, SUITE 396
PORTLAND, OR 97225
Pediatrics
9427 SW BARNES RD, SUITE 598
PORTLAND, OR 97225
Obstetrics & Gynecology
9427 SW BARNES RD, SUITE 395
PORTLAND, OR 97225
Obstetrics & Gynecology (Gynecology)
9427 SW BARNES RD, SUITE 599
PORTLAND, OR 97225
Internal Medicine (Clinical Cardiac Electrophysiology)
9427 SW BARNES RD, STE 490
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 1750482451. 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 Southwest Pediatric Clinic.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 9427 SW Barnes Rd Suite 396, Portland, OR 97225. The listed phone number is (503) 215-6550.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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 June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.