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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1770926776
Internal Medicine - Clinical Cardiac Electrophysiology in Astoria, OR

Active since April 10, 2013
1355 EXCHANGE ST, ASTORIA, OR 97103(503) 216-0770(503) 216-0775 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, May 12, 2025, Apr 16, 2021 (3 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 1770926776), doing business as Providence St Vincent Heart Clinic Heart Rhythm At Astoria, is a healthcare organization registered as a clinical cardiac electrophysiology in Astoria, Oregon and active in the NPI registry since April 2013. The organization lists Donald Wayne Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1770926776
Entity TypeOrganization
Primary Taxonomy207RC0001X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1355 EXCHANGE STAstoria, OR 97103-3980
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 216-0770
Fax(503) 216-0775
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary For Enrollment · (425) 358-9786
Enumeration DateApril 10, 2013
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1770926776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedClinic/CenterTaxonomy 261Q00000X
1355 EXCHANGE ST, Astoria, OR 97103
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Other Names 1

Doing Business AsProvidence St Vincent Heart Clinic Heart Rhythm At Astoria

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, 1 practice at this address and 2 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
Robert Morse, D.O.
Cardiovascular Disease (Cardiology)
NPI 1174555312
1355 EXCHANGE ST
Astoria, OR 97103
(503) 717-7850
✔ PECOS✔ Accepts MedicareSame address
Juliette Moore, MD
General Surgery
NPI 1700144615
2055 EXCHANGE ST STE 270
Astoria, OR 97103
(503) 338-4670
✔ PECOS✔ Accepts Medicare0.5 mi
Jennifer Haag, AGPCNP
Nurse Practitioner
NPI 1285095398
727 S WAHANNA RD
Seaside, OR 97138
(503) 717-7060
✔ PECOS✔ Accepts Medicare14 mi
Nicole Benthin, NP
Nurse Practitioner
NPI 1407400500
725 S WAHANNA RD STE 230
Seaside, OR 97138
(503) 741-7060
✔ PECOS✔ Accepts Medicare14 mi
Casseopia Fisher, AGACNP
Nurse Practitioner
NPI 1841078326
725 S WAHANNA RD
Seaside, OR 97138
(503) 515-1738
✔ PECOS✔ Accepts Medicare14 mi
Dominique Greco, MD
Family Practice
NPI 1558469510
725 S. WAHANNA RD
Seaside, OR 97138
(503) 717-7556
✔ PECOS✔ Accepts Medicare14 mi
Kyle Walker, MD
Internal Medicine
NPI 1689068033
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ PECOS✔ Accepts Medicare14 mi
Karina Squire, DNP
Nurse Practitioner
NPI 1154772911
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7060
✔ PECOS✔ Accepts Medicare14 mi
Carol Opheikens, FNP-C
Nurse Practitioner
NPI 1053732677
401 SW BELAIR DR
Clatskanie, OR 97016
(503) 728-5088
✔ PECOS✔ Accepts Medicare30 mi
Muhammad Riaz, M.D
Family Practice
NPI 1053610493
1615 DELAWARE ST
Longview, WA 98632
(360) 414-7800
✔ PECOS✔ Accepts Medicare43 mi
Tarra Castillo, CNM, NMNP
Certified Nurse Midwife (CNM)
NPI 1235459041
333 SE 7TH AVE STE 5500
Hillsboro, OR 97123
(503) 597-4500
✔ PECOS✔ Accepts Medicare62 mi
Lindsay Moore, PHD
Clinical Psychologist
NPI 1083227805
5555 NE ELAM YOUNG PKWY
Hillsboro, OR 97124
(503) 216-2600
✔ PECOS✔ Accepts Medicare63 mi
Erica Hadley, MD
Pediatric Medicine
NPI 1134534928
10060 NE EVERGREEN PKWY
Hillsboro, OR 97124
(800) 813-2000
✔ PECOS64 mi
Yi-Huei Kang, MD
Internal Medicine
NPI 1528641545
10690 NE CORNELL RD STE 215
Hillsboro, OR 97124
(503) 216-5240
✔ PECOS✔ Accepts Medicare65 mi
Josiah Cobb, DPT
Physical Therapist in Private Practice
NPI 1821579053
7305 SE CIRCUIT DR STE 140
Hillsboro, OR 97123
(971) 504-4905
✔ Accepts Medicare65 mi
Erin Grinich, MD
Dermatology
NPI 1326501669
7305 SE CIRCUIT DR STE 230
Hillsboro, OR 97123
(503) 342-9925
✔ PECOS✔ Accepts Medicare65 mi
Liberato Mukul, MD
Obstetrics/Gynecology
NPI 1932129491
7305 SE CIRCUIT DR STE 260
Hillsboro, OR 97123
(503) 342-9928
✔ PECOS✔ Accepts Medicare65 mi
Kevin Woolf, MD
Cardiovascular Disease (Cardiology)
NPI 1265580054
7305 SE CIRCUIT DR STE 220
Hillsboro, OR 97123
(503) 962-1000
✔ PECOS✔ Accepts Medicare65 mi
Abigail Laverdure, OT
Occupational Therapist in Private Practice
NPI 1730038001
7305 SE CIRCUIT DR STE 140
Hillsboro, OR 97123
(971) 501-4905
✔ Accepts Medicare65 mi
Tula Top, M.D.
Hospice/Palliative Care
NPI 1346432721
2211 NE 139TH ST
Vancouver, WA 98686
(360) 487-1169
✔ PECOS✔ Accepts Medicare65 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 1770926776. It was assigned to this organization in the NPPES registry on April 10, 2013. The provider is doing business as Providence St Vincent Heart Clinic Heart Rhythm at Astoria.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1355 Exchange St, Astoria, OR 97103. The listed phone number is (503) 216-0770.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

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, 1 practice at this address and 2 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 16 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.