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

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

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

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: October 25, 2026.

Record update history: Jul 4, 2025, Jun 13, 2024, Sep 24, 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 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

Phone(503) 215-9706

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

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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

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, 14 practice at this address and 1,048 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

Erin Allen, MD

Dermatology

NPI 1346344611

5330 NE GLISAN ST STE 200
Portland, OR 97213

(503) 215-9083

✔ PECOS✔ Accepts MedicareSame address

Staci Eskesen, MD

Family Practice

NPI 1689629628

5330 NE GLISAN ST SUITE 100
Portland, OR 97213

(503) 215-9700

✔ PECOS✔ Accepts MedicareSame address

Rachel Graves, M.D.

Family Practice

NPI 1659570190

5330 NE GLISAN ST STE 100
Portland, OR 97213

(503) 215-9700

✔ PECOS✔ Accepts MedicareSame address

Rebecca Lee, FNP

Nurse Practitioner

NPI 1669198446

5330 NE GLISAN ST STE 100
Portland, OR 97213

(503) 215-9700

✔ PECOS✔ Accepts MedicareSame address

Tricia Lind, FNP

Nurse Practitioner

NPI 1891559472

5330 NE GLISAN ST STE 100
Portland, OR 97213

(503) 215-9700

✔ PECOS✔ Accepts MedicareSame address

Joseph Obadiah, M.D.

Dermatology

NPI 1699818120

5330 NE GLISAN ST SUITE 200
Portland, OR 97213

(503) 215-9080

✔ PECOS✔ Accepts MedicareSame address

Caroline Reay, MD

Internal Medicine

NPI 1447283205

5330 NE GLISAN ST SUITE 100
Portland, OR 97213

(503) 215-9700

✔ PECOSSame address

Andrew Tobler, DO

Family Practice

NPI 1548842438

5330 NE GLISAN ST STE 100
Portland, OR 97213

(503) 215-9700

✔ PECOS✔ Accepts MedicareSame address

Charles White, M.D.

Family Practice

NPI 1740485432

5330 NE GLISAN ST STE 100
Portland, OR 97213

(503) 215-9700

✔ PECOS✔ Accepts MedicareSame address

Taylor Krieg, DO

Internal Medicine

NPI 1326400573

5330 NE GLISAN ST STE 100
Portland, OR 97213

(503) 215-9700

✔ PECOS✔ Accepts MedicareSame address

Margaret Black, M.D.

Family Practice

NPI 1659699528

5330 NE GLISAN ST STE 100
Portland, OR 97213

(503) 215-9700

✔ PECOS✔ Accepts MedicareSame address

Brian Becker Broncheau, M.D.

Psychiatry

NPI 1821226713

5251 NE GLISAN ST BLDG A, 2ND FLOOR
Portland, OR 97213

(503) 215-4860

✔ PECOS✔ Accepts MedicareSame address

Palaniappan Chidambaram, M.D.

Addiction Medicine

NPI 1770651200

5251 NE GLISAN ST BLDG A, 2ND FLOOR
Portland, OR 97213

(503) 215-4860

✔ PECOS✔ Accepts MedicareSame address

Sharon Hammond, PMHNP

Nurse Practitioner

NPI 1821009606

5251 NE GLISAN ST BLDG A, 2ND FLOOR
Portland, OR 97213

(503) 215-6285

✔ PECOS✔ Accepts MedicareSame address

Daniel Fischer, M.D.

Psychiatry

NPI 1275875189

5228 NE HOYT ST BLDG B, STE 300
Portland, OR 97213

(503) 215-4860

✔ PECOS✔ Accepts Medicare0.1 mi

Annika Ginsberg, LCSW, R.D., L.D

Clinical Social Worker

NPI 1235406018

5228 NE HOYT ST BLDG B
Portland, OR 97213

(503) 215-1518

✔ PECOS0.1 mi

Katie Mcculloch, PH.D.

Clinical Psychologist

NPI 1013454842

5228 NE HOYT ST BLDG B2ND
Portland, OR 97213

(503) 215-4860

✔ PECOS✔ Accepts Medicare0.1 mi

Mary Beckman, LPC

Mental Health Counselor

NPI 1851659759

5228 NE HOYT ST BLDG B3
Portland, OR 97213

(503) 215-4860

✔ PECOS✔ Accepts Medicare0.1 mi

Jade Bergez, PMHNP

Nurse Practitioner

NPI 1174038277

5228 NE HOYT ST BLDG B
Portland, OR 97213

(503) 215-4860

✔ PECOS✔ Accepts Medicare0.1 mi

Christopher Schraner, RD

Registered Dietitian or Nutrition Professional

NPI 1578959466

5211 NE GLISAN ST BLDG C
Portland, OR 97213

(503) 893-6647

✔ Accepts Medicare0.1 mi

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 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.

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, 14 practice at this address and 1,048 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.