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: July 19, 2026.

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

  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services Oregon, a primary care provider established in Cannon Beach, Oregon operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1841756764 assigned on February 2019. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Health & Services Oregon operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Donald W Anderson Jr. (Assistant Secretary Enrollments)

NPI
1841756764 Verify this NPI
Provider Name
PROVIDENCE HEALTH & SERVICES OREGON
Other Name Type
(6)
Entity Type
Organization
Location Address
171 N LARCH ST STE 16 CANNON BEACH, OR 97110
Location Phone
(503) 717-7400
Mailing Address
PO BOX 31001-4199 PASADENA, CA 91110
Mailing Phone
(503) 893-7120
Mailing Fax
(425) 276-3215
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2019
Last Update Date
04-29-2025
Code Navigator

A primary care provider (PCP) like Providence Health & Services Oregon sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD W ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Reviews for PROVIDENCE HEALTH & SERVICES OREGON

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
171 N LARCH ST STE 16
CANNON BEACH, OR 97110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841756764, enumerated as an "organization" on February 15, 2019.

The provider is located at 171 N LARCH ST STE 16 CANNON BEACH, OR 97110 and the phone number is (503) 717-7400.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.