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: October 25, 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
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

Other Names 2

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

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, 11 practice at this address and 1,047 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
Occupational Therapist in Private Practice
NPI 1003578543
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Nurse Practitioner
NPI 1982304630
830 NE 47TH AVE
Portland, OR 97213
(503) 216-2339
✔ PECOSSame address
Qualified Speech Language Pathologist
NPI 1760038111
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Occupational Therapist in Private Practice
NPI 1275172066
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Occupational Therapist in Private Practice
NPI 1396032488
830 NE 47TH AVE
Portland, OR 97213
(503) 216-2339
Same address
Qualified Speech Language Pathologist
NPI 1366682163
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Pediatric Medicine
NPI 1891719035
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
✔ PECOSSame address
Occupational Therapist in Private Practice
NPI 1922570654
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Qualified Speech Language Pathologist
NPI 1730937582
830 NE 47TH AVE
Portland, OR 97213
(503) 215-2233
Same address
Qualified Speech Language Pathologist
NPI 1720773757
830 NE 47TH AVE
Portland, OR 97213
(503) 216-2339
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1366998254
830 NE 47TH AVE
Portland, OR 97213
(503) 216-8545
Same address
Hospitalist
NPI 1073704052
4805 NE GLISAN ST SUITE BG05
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1700299294
4805 NE GLISAN ST STE BG05
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1649355678
4805 NE GLISAN ST
Portland, OR 97213
(503) 297-6334
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1215657895
4805 NE GLISAN ST
Portland, OR 97213
(971) 219-9764
✔ PECOS✔ Accepts Medicare0.2 mi
Gynecological Oncology
NPI 1588059638
4805 NE GLISAN ST STE 11N
Portland, OR 97213
(503) 215-2075
✔ PECOS✔ Accepts Medicare0.2 mi
Neurology
NPI 1255337572
4805 NE GLISAN ST STE 3G37
Portland, OR 97213
(503) 215-6335
✔ PECOS✔ Accepts Medicare0.2 mi
Qualified Speech Language Pathologist
NPI 1023507795
PROVIDENCE PORTLAND MEDICAL CENTER 4805 NE GLISAN ST
Portland, OR 97213
(503) 215-1111
✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1053955047
4805 NE GLISAN ST
Portland, OR 97213
(503) 215-2392
✔ PECOS✔ Accepts Medicare0.2 mi
Endocrinology
NPI 1083653679
4805 NE GLISAN ST STE 6N40
Portland, OR 97213
(503) 215-6601
✔ PECOS✔ Accepts Medicare0.2 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 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.

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, 11 practice at this address and 1,047 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 1, 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.