PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1790881498
Family Medicine in Portland, OR

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 16, 2006

1321 NE 99TH AVE, SUITE 100, PORTLAND, OR 97220(503) 215-4050(503) 215-4055 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2025, May 12, 2025, Sep 16, 2020 (3 updates tracked since 2020).

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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 1790881498), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Portland, Oregon and active in the NPI registry since September 2006. The organization lists Donald W Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1790881498

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address1321 NE 99TH AVE, SUITE 100Portland, OR 97220-9437

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 215-4050

Fax(503) 215-4055

Organization SubpartNo

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

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1790881498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/CenterTaxonomy 261Q00000X

1321 NE 99TH AVE, Portland, OR 97220

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group Gateway

Other Identifiers 1

Medicaid198127OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

KIMBERLY A SMITH-CUPANI MD

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

PROVIDENCE HEALTH & SERVICES - OREGON

Internal Medicine

1321 NE 99TH AVE, SUITE 100
PORTLAND, OR 97220

Multnomah County (503) 215-9900

THUY LIEN THI HOANG MD

Family Medicine

1321 NE 99TH AVE, STE 100
PORTLAND, OR 97220

Multnomah County (503) 215-9900

KIMBERLY A SHIELDS DO

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

MARIA LUISA CONSTANTE MD

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

MAHNAZ AHMAD M.D.

Internal Medicine

1321 NE 99TH AVE, STE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

DANIEL M ROSENBERG MD

Family Medicine

1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 97220

Multnomah County (503) 215-4250

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 1790881498. It was assigned to this organization in the NPPES registry on September 16, 2006. The provider is doing business as Providence Medical Group and Providence Medical Group Gateway.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1321 NE 99th Ave Suite 100, Portland, OR 97220. The listed phone number is (503) 215-4050.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Providence Health Plan list Providence Health & Services - Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 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.