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PROVIDENCE HEALTH & SERVICES OREGON
NPI 1821224957
Internal Medicine in Tigard, OR

Active since June 03, 2009
18040 SW LOWER BOONES FERRY RD, SUITE 100, TIGARD, OR 97224(503) 216-0700 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 4, 2025, Jul 9, 2018 (2 updates tracked since 2018).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1821224957), doing business as Pmg Bridgeport Immediate Care, is a healthcare organization registered as an internal medicine in Tigard, Oregon and active in the NPI registry since June 2009. The organization lists Donald Wayne Anderson, Asst Secretary For Enrollments, as its authorized official.

NPPES Registry Identity

NPI1821224957
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address18040 SW LOWER BOONES FERRY RD, SUITE 100Tigard, OR 97224
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 216-0700
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Secretary For Enrollments · (425) 358-9786
Enumeration DateJune 3, 2009
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1821224957 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
18040 SW LOWER BOONES FERRY RD, Tigard, OR 97224
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Other Names 2

Doing Business AsPmg Bridgeport Immediate Care
Doing Business AsProvidence Medical Group

Other Identifiers 1

Medicaid500611230OR

Accepted Insurance

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

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, 20 practice at this address and 680 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
James Brown, DO
Family Practice
NPI 1700373305
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Rebecca Cleeton, DO
Family Practice
NPI 1972710556
18040 SW LOWER BOONES FERRY RD SUITE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Jennifer Felker-Norling, PSYD
Clinical Psychologist
NPI 1437286986
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Michael Goodwin, M.D.
Family Practice
NPI 1568756591
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Vihangi Hindagolla, DO
Family Practice
NPI 1346621232
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Conner Hosner, MD
Family Practice
NPI 1164982781
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Shi-Wei Hwu, M.D.
Family Practice
NPI 1457798217
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Tina Kieu, DO
Family Practice
NPI 1427741958
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOSSame address
Frances Lawson, M.D.
Emergency Medicine
NPI 1851334387
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Sally Nahhas, DO
Family Practice
NPI 1548841984
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Bao Tran Nhan, MD
Family Practice
NPI 1326668385
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Mark Shatsky, DO
Family Practice
NPI 1932124369
18040 SW LOWER BOONES FERRY RD SUITE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
David Silvestre, MD
Family Practice
NPI 1831153196
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Kimberly Williams, FNP
Nurse Practitioner
NPI 1578870069
18040 SW LOWER BOONES FERRY RD SUITE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Jamie Wong, FNP
Nurse Practitioner
NPI 1851760904
18040 SW LOWER BOONES FERRY RD STE 100
Portland, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Breanne Brown, DO
Family Practice
NPI 1376779041
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Heh Shin Kwak, M.D.
Dermatology
NPI 1174715924
18040 SW LOWER BOONES FERRY RD STE 201
Tigard, OR 97224
(503) 216-0500
✔ PECOS✔ Accepts MedicareSame address
Matthew Mcclelland, MD
Dermatology
NPI 1346394954
18040 SW LOWER BOONES FERRY RD SUITE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Nathan Way, MD
Family Practice
NPI 1104251263
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Laurie Chern, MD
Family Practice
NPI 1457385114
18040 SW LOWER BOONES FERRY RD SUITE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOSSame address
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 1821224957. It was assigned to this organization in the NPPES registry on June 3, 2009. The provider is doing business as Pmg Bridgeport Immediate Care and Providence Medical Group.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 18040 SW Lower Boones Ferry Rd Suite 100, Tigard, OR 97224. The listed phone number is (503) 216-0700.

What is Providence Health & Services Oregon's specialty?

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

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, 20 practice at this address and 680 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.