PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1790857233
Internal Medicine in Portland, OR

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 13, 2006

4805 NE GLISAN ST, SUITE BG05, PORTLAND, OR 97213(503) 215-2392 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1790857233), doing business as Providence Hospitalists East, is a healthcare organization registered as an internal medicine in Portland, Oregon and active in the NPI registry since November 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1790857233

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address4805 NE GLISAN ST, SUITE BG05Portland, OR 97213-2933

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(503) 215-2392

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateNovember 13, 2006

Last NPPES UpdateJuly 4, 2025

NPPES CertifiedJuly 4, 2025

✔ NPI 1790857233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedClinic/CenterTaxonomy 261Q00000X

4805 NE GLISAN ST, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Hospitalists East

Doing Business AsProvidence Medical Group

Other Identifiers 1

Medicaid278516OR

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.

DR. CHRISTOPHER MICHAEL BARONE

Internal Medicine

4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

TODD SHANE CROCENZI M.D.

Internal Medicine (Medical Oncology)

4805 NE GLISAN ST, 6N40
PORTLAND, OR 97213

Multnomah County (503) 215-5696

SHARON D KENNEDY NP

Registered Nurse (General Practice)

4805 NE GLISAN ST, 3E
PORTLAND, OR 97213

Multnomah County (503) 215-6494

REBECCA E CHANDLER MD

Internal Medicine

4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

MICHAEL J CLAYTON MD

Internal Medicine

4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

JAMES STUART MORGAN MD

Internal Medicine

4805 NE GLISAN ST, BG05
PORTLAND, OR 97213

Multnomah County (503) 215-2392

NANCY A PHILLIPS MD

Psychiatry & Neurology (Psychiatry)

4805 NE GLISAN ST, 5L
PORTLAND, OR 97213

Multnomah County (503) 215-7669

VICKI COLLISTER ANP

Registered Nurse

4805 NE GLISAN ST
PORTLAND, OR 97213

Multnomah County (503) 215-4620

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 1790857233. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is doing business as Providence Hospitalists East and Providence Medical Group.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 4805 NE Glisan St Suite Bg05, Portland, OR 97213. The listed phone number is (503) 215-2392.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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 with the weekly NPPES data releases published by CMS.