PROVIDENCE HEALTH & SERVICES OREGON
NPI 1801010004
Internal Medicine - Hematology & Oncology in Portland, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1801010004. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is doing business as Providence Liver Cancer Clinic and Providence Medical Group.

Q: 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.

Active since April 12, 2007

4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213(503) 215-8650(503) 215-8653 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2025, Jul 19, 2019 (2 updates tracked since 2019).

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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 1801010004), doing business as Providence Liver Cancer Clinic, is a healthcare organization registered as a hematology & oncology in Portland, Oregon and active in the NPI registry since April 2007. The organization lists Donald Wayne Anderson, Asst Secretary For Enrollments, as its authorized official.

NPPES Registry Identity

NPI1801010004

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address4805 NE GLISAN ST STE 11NPortland, OR 97213-2933

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

Phone(503) 215-8650

Fax(503) 215-8653

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAsst Secretary For Enrollments · (425) 358-9786

Enumeration DateApril 12, 2007

Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1801010004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedInternal Medicine · HepatologyTaxonomy 207RI0008X

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X

Also ListedClinic/CenterTaxonomy 261Q00000X

4805 NE GLISAN ST STE 11N, Portland, OR 97213

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Other Names 2

Doing Business AsProvidence Liver Cancer Clinic

Doing Business AsProvidence Medical Group

Other Identifiers 1

Medicaid274461OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

PROVIDENCE HEALTH & SERVICES - OREGON

Obstetrics & Gynecology