PROVIDENCE HEALTH & SERVICES OREGON
NPI 1841756764
Clinic/Center - Rural Health in Cannon Beach, OR

Active since February 15, 2019
171 N LARCH ST STE 16, CANNON BEACH, OR 97110(503) 717-7400 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2020, Feb 15, 2019 (2 updates tracked since 2019).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1841756764), doing business as Providence Seaside Hospital - Providence Cannon Beach Clinic, is a healthcare organization registered as a rural health in Cannon Beach, Oregon and active in the NPI registry since February 2019. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1841756764
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address171 N LARCH ST STE 16Cannon Beach, OR 97110-3103
Mailing AddressPo Box 31001-4199Pasadena, CA 91110-4199 · (503) 893-7120 · Fax (425) 276-3215
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateFebruary 15, 2019
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 28, 2025
✔ NPI 1841756764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
171 N LARCH ST STE 16, Cannon Beach, OR 97110

Other Names 2

Doing Business AsProvidence Seaside Hospital - Providence Cannon Beach Clinic
Doing Business AsProvidence Seaside Hospital, Providence Cannon Beach Clinic

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

299

Medicare enrollment records show 299 clinicians reassign Medicare billing to Providence Health & Services Oregon, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Emergency Medicine46
Nurse Practitioner45
Cardiovascular Disease (Cardiology)28
Pathology26
Hospitalist24
Internal Medicine18
Family Practice17
Certified Registered Nurse Anesthetist (CRNA)12
21 other specialties83

Nearest to this location (20)

See all 299
Nurse Practitioner
NPI 1598723918
171 N LARCH ST STE 16
Cannon Beach, OR 97110
(503) 717-7402
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285766501
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1952913907
725 S WAHANNA RD UNIT 101
Seaside, OR 97138
(503) 836-4600
✔ PECOS6.7 mi
Nurse Practitioner
NPI 1407400500
725 S WAHANNA RD STE 230
Seaside, OR 97138
(503) 741-7060
✔ PECOS✔ Accepts Medicare6.7 mi
Emergency Medicine
NPI 1013985449
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1841078326
725 S WAHANNA RD
Seaside, OR 97138
(503) 515-1738
✔ PECOS✔ Accepts Medicare6.7 mi
Family Practice
NPI 1558469510
725 S. WAHANNA RD
Seaside, OR 97138
(503) 717-7556
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1427148477
725 S. WAHANNA RD
Seaside, OR 97138
(503) 717-7556
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1467497073
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ PECOS6.7 mi
Family Practice
NPI 1932148731
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ PECOS✔ Accepts Medicare6.7 mi
General Surgery
NPI 1861593840
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ PECOS✔ Accepts Medicare6.7 mi
Internal Medicine
NPI 1063090942
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ PECOS✔ Accepts Medicare6.7 mi
Family Practice
NPI 1649217563
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1255094967
725 S WAHANNA RD STE 230
Seaside, OR 97138
(503) 717-7060
✔ PECOS✔ Accepts Medicare6.7 mi
Internal Medicine
NPI 1689068033
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ PECOS✔ Accepts Medicare6.7 mi
Family Practice
NPI 1164125951
727 S WAHANNA RD STE 220
Seaside, OR 97138
(503) 717-7060
✔ PECOS6.8 mi
Clinical Social Worker
NPI 1699409755
1005 BROADWAY ST
Seaside, OR 97138
(503) 325-5722
✔ PECOS6.9 mi
Orthopedic Surgery
NPI 1255751921
727 S WAHANNA RD
Seaside, OR 97138
(503) 717-7060
✔ PECOS✔ Accepts Medicare7.4 mi
Emergency Medicine
NPI 1346348935
727 S WAHANNA ROAD
Seaside, OR 97138
(503) 717-7556
✔ PECOS✔ Accepts Medicare7.4 mi
Family Practice
NPI 1619152188
727 S WAHANNA RD
Seaside, OR 97138
(503) 717-7060
✔ PECOS✔ Accepts Medicare7.4 mi
See all 299 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 1841756764. It was assigned to this organization in the NPPES registry on February 15, 2019. The provider is doing business as Providence Seaside Hospital - Providence Cannon Beach Clinic and Providence Seaside Hospital, Providence Cannon Beach Clinic.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 171 N Larch St Ste 16, Cannon Beach, OR 97110. The listed phone number is (503) 717-7400.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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), 299 clinicians in 29 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 Emergency Medicine (46), Nurse Practitioner (45) and Cardiovascular Disease (Cardiology) (28). Of these, 1 practice at this address and 24 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 April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.