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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1750631784
Clinic/Center in Hood River, OR

Active since September 18, 2012
1619 WOODS CT, HOOD RIVER, OR 97031(541) 386-5119(541) 386-3061 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 4, 2025, Jan 19, 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 1750631784), doing business as Providence Medical Group, is a healthcare organization registered as a clinic/center in Hood River, Oregon and active in the NPI registry since September 2012. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1750631784
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1619 WOODS CTHood River, OR 97031-2915
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(541) 386-5119
Fax(541) 386-3061
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateSeptember 18, 2012
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1750631784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedOtolaryngologyTaxonomy 207Y00000X
1619 WOODS CT, Hood River, OR 97031
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Hood River Ent

Other Identifiers 1

Medicaid500650973OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 21 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
Kelcie Gerry, DPT
Physical Therapist in Private Practice
NPI 1295480887
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Andre Heiber, PT
Physical Therapist in Private Practice
NPI 1730667080
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Dale Milam, PT, DPT
Physical Therapist in Private Practice
NPI 1427428804
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Kylene Olin, PT, DPT
Physical Therapist in Private Practice
NPI 1275317802
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Yeong Park, P.T.
Physical Therapist in Private Practice
NPI 1104161777
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Linda Alexander, DPT, OCS
Physical Therapist in Private Practice
NPI 1689746679
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Tollie Bohl, DPT
Physical Therapist in Private Practice
NPI 1417245358
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Gregory Jorgensen, DPT
Physical Therapist in Private Practice
NPI 1417119843
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Rebecca Jorgensen, OTD, OTR/L
Occupational Therapist in Private Practice
NPI 1932579760
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Sarah Ridley, DPT
Physical Therapist in Private Practice
NPI 1689683484
1627 WOODS CT
Hood River, OR 97031
(541) 386-9511
✔ Accepts MedicareSame address
Rodney Krehbiel, MD
Family Practice
NPI 1366435703
849 PACIFIC AVE
Hood River, OR 97031
(541) 386-6380
✔ PECOS0.1 mi
Jennifer Montague, RD
Registered Dietitian or Nutrition Professional
NPI 1699344010
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ Accepts Medicare0.5 mi
Olivia Ullrich, ARNP
Nurse Practitioner
NPI 1265688600
1108 JUNE ST
Hood River, OR 97031
(541) 387-6125
✔ PECOS✔ Accepts Medicare0.5 mi
Lara Weyl, DO
Obstetrics/Gynecology
NPI 1629333414
1125 MAY ST STE 202
Hood River, OR 97031
(541) 387-8940
✔ PECOS✔ Accepts Medicare0.5 mi
Rebecca Rawson, FNP
Nurse Practitioner
NPI 1548573579
902 12TH ST
Hood River, OR 97031
(541) 386-1818
✔ PECOS✔ Accepts Medicare0.5 mi
Ryan Kealy, M.D.
Hospitalist
NPI 1033325758
810 12TH ST
Hood River, OR 97031
(541) 399-7552
✔ PECOS✔ Accepts Medicare0.6 mi
Elizabeth Chambers, M.D.
Psychiatry
NPI 1598848475
814 13TH ST
Hood River, OR 97031
(541) 387-6138
✔ PECOS0.6 mi
Stephan Coffman, MD
General Surgery
NPI 1649235300
1304 MONTELLO AVE
Hood River, OR 97031
(541) 387-8992
✔ PECOS✔ Accepts Medicare0.7 mi
Alicia Ross, M.D.
Advanced Heart Failure and Transplant Cardiology
NPI 1811053911
1304 MONTELLO AVE
Hood River, OR 97031
(541) 387-1950
✔ PECOS✔ Accepts Medicare0.7 mi
Stephanie Mentch, PT, DPT
Physical Therapist in Private Practice
NPI 1730476250
706 COLUMBIA ST
Hood River, OR 97031
(541) 716-1420
✔ Accepts Medicare1.0 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 1750631784. It was assigned to this organization in the NPPES registry on September 18, 2012. The provider is doing business as Providence Medical Group and Providence Hood River ENT.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1619 Woods Ct, Hood River, OR 97031. The listed phone number is (541) 386-5119.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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 21 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 15 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.