PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1841466141
Internal Medicine in Portland, OR

Active since May 06, 2008
5330 NE GLISAN ST, SUITE 100, PORTLAND, OR 97213(503) 215-9706 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, Jun 13, 2024, Sep 24, 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 1841466141), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Portland, Oregon and active in the NPI registry since May 2008. The organization lists Donald W Anderson, Asst Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1841466141
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address5330 NE GLISAN ST, SUITE 100Portland, OR 97213-3069
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Organization SubpartNo
Authorized OfficialDonald W AndersonAsst Secretary Enrollment · (425) 358-9786
Enumeration DateMay 6, 2008
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
NPI 1841466141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
5330 NE GLISAN ST, Portland, OR 97213

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Glisan

Other Identifiers 1

Medicaid500400318OR

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

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
5330 NE GLISAN ST, SUITE 100
PORTLAND, OR 97213
Family Medicine
5330 NE GLISAN ST, SUITE 100
PORTLAND, OR 97213
Physician Assistant
5330 NE GLISAN ST, SUITE 100
PORTLAND, OR 97213
Internal Medicine
5330 NE GLISAN ST, SUITE 100
PORTLAND, OR 97213
Internal Medicine
5330 NE GLISAN ST, SUITE 100
PORTLAND, OR 97213
Internal Medicine
5330 NE GLISAN ST, SUITE 100
PORTLAND, OR 97213
Internal Medicine
5330 NE GLISAN ST, SUITE 100
PORTLAND, OR 97213
Family Medicine
5330 NE GLISAN ST, STE 100
PORTLAND, OR 97213

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 1841466141. It was assigned to this organization in the NPPES registry on May 6, 2008. The provider is doing business as Providence Medical Group and Providence Medical Group Glisan.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 5330 NE Glisan St Suite 100, Portland, OR 97213. The listed phone number is (503) 215-9706.

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

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

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.