PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1841452521
Family Medicine in Tigard, OR

Active since June 25, 2008
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: October 18, 2026.

Record update history: Jul 4, 2025, Sep 29, 2024, Sep 28, 2020 (3 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1841452521), doing business as Pmg Bridgeport, is a healthcare organization registered as a family medicine in Tigard, Oregon and active in the NPI registry since June 2008. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1841452521
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address18040 SW LOWER BOONES FERRY RD, SUITE 100Tigard, OR 97224-7215
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 525-5392
Enumeration DateJune 25, 2008
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1841452521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedDermatologyTaxonomy 207N00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedClinic/CenterTaxonomy 261Q00000X
18040 SW LOWER BOONES FERRY RD, Tigard, OR 97224

Other Names 2

Doing Business AsPmg Bridgeport
Doing Business AsProvidence Medical Group

Other Identifiers 1

Medicaid246091OR

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

Accepted 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 682 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
Family Practice
NPI 1700373305
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1972710556
18040 SW LOWER BOONES FERRY RD SUITE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1437286986
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1568756591
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346621232
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1164982781
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457798217
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427741958
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOSSame address
Emergency Medicine
NPI 1851334387
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1548841984
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1326668385
18040 SW LOWER BOONES FERRY RD STE 304
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932124369
18040 SW LOWER BOONES FERRY RD SUITE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831153196
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578870069
18040 SW LOWER BOONES FERRY RD SUITE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851760904
18040 SW LOWER BOONES FERRY RD STE 100
Portland, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1376779041
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1174715924
18040 SW LOWER BOONES FERRY RD STE 201
Tigard, OR 97224
(503) 216-0500
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1346394954
18040 SW LOWER BOONES FERRY RD SUITE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1104251263
18040 SW LOWER BOONES FERRY RD STE 100
Tigard, OR 97224
(503) 216-0700
✔ PECOS✔ Accepts MedicareSame address
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 1841452521. It was assigned to this organization in the NPPES registry on June 25, 2008. The provider is doing business as Pmg Bridgeport 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 Family Medicine with taxonomy code 207Q00000X.

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 682 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 15 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.