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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1760726293
Internal Medicine - Hematology & Oncology in Portland, OR

Active since November 21, 2012
830 NE 47TH AVE, PORTLAND, OR 97213(503) 215-3053(503) 215-3037 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1760726293), doing business as Providence Medical Group, is a healthcare organization registered as a hematology & oncology in Portland, Oregon and active in the NPI registry since November 2012. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1760726293
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address830 NE 47TH AVEPortland, OR 97213-2212
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 215-3053
Fax(503) 215-3037
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateNovember 21, 2012
Last NPPES UpdateJuly 1, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1760726293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedClinic/CenterTaxonomy 261Q00000X
830 NE 47TH AVE, Portland, OR 97213
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Oral Head And Neck Cancer Clinic North

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.

MORGAN S CASH OTR/L
Occupational Therapist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
ELIN BISHOP SLPA
Specialist/Technologist (Speech-Language Assistant)
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-0719
CAROL LIPSON CRISWELL
Peer Specialist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2429
CARA LEE OTR/L
Occupational Therapist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
RENY EMMALINE FERRARI SLP
Speech-Language Pathologist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2233
MANDY MORAN
Peer Specialist
830 NE 47TH AVE
PORTLAND, OR 97213
Multnomah County (503) 215-2429
DR. MICHELE RADDISH MD
Pediatrics (Developmental - Behavioral Pediatrics)
830 NE 47TH AVE, PROVIDENCE NEURODEVELOPMENTAL CENTER FOR CHILDREN
PORTLAND, OR 97213
Multnomah County (503) 216-2339
PROVIDENCE HEALTH & SERVICES-OREGON
Clinic/Center (Dental)
830 NE 47TH AVE, ATTN: DENTAL CLINIC
PORTLAND, OR 97213
Multnomah County (503) 215-2400

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 1760726293. It was assigned to this organization in the NPPES registry on November 21, 2012. The provider is doing business as Providence Medical Group and Providence Oral Head and neck Cancer Clinic North.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 830 NE 47th Ave, Portland, OR 97213. The listed phone number is (503) 215-3053.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.