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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1881766061
Internal Medicine in Milwaukie, OR

Active since November 14, 2006
10150 SE 32ND AVE, MILWAUKIE, OR 97222(503) 513-8336 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1881766061), doing business as Providence Hospitalists Southeast, is a healthcare organization registered as an internal medicine in Milwaukie, Oregon and active in the NPI registry since November 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1881766061
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address10150 SE 32ND AVEMilwaukie, OR 97222-6516
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 513-8336
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 4, 2025
NPPES CertifiedJuly 4, 2025
✔ NPI 1881766061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedClinic/CenterTaxonomy 261Q00000X
10150 SE 32ND AVE, Milwaukie, OR 97222
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Other Names 2

Doing Business AsProvidence Hospitalists Southeast
Doing Business AsProvidence Medical Group

Other Identifiers 1

Medicaid278514OR

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, 15 practice at this address and 1,105 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
Andrew Balster, MD
Internal Medicine
NPI 1356803159
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts MedicareSame address
Anne Breitinger, MD
Gastroenterology
NPI 1871772442
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 215-5895
✔ PECOS✔ Accepts MedicareSame address
Rhett Butler, M.D.
Hospitalist
NPI 1275979171
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts MedicareSame address
Aline Gottlieb, MD, PHD
Internal Medicine
NPI 1952042921
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts MedicareSame address
Jonathan Hattenhauer, D.O.
Internal Medicine
NPI 1013302348
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 215-5895
✔ PECOS✔ Accepts MedicareSame address
Christopher Hernandez, DO
Internal Medicine
NPI 1326506130
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8300
✔ PECOS✔ Accepts MedicareSame address
Jenny Lee
Internal Medicine
NPI 1841724028
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts MedicareSame address
Kelley Newton, MD
Internal Medicine
NPI 1508305723
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts MedicareSame address
Steven Redmond, MD
Hospitalist
NPI 1114968633
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8695
✔ PECOS✔ Accepts MedicareSame address
Carolyn Sites, DO
Hospitalist
NPI 1790718310
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts MedicareSame address
Salman Zahid, MD
Internal Medicine
NPI 1790303618
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOSSame address
Samson Spilk Wall, MD
Internal Medicine
NPI 1619169109
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts MedicareSame address
Brian Hanks, M.D.
Internal Medicine
NPI 1851654891
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8300
✔ PECOS✔ Accepts MedicareSame address
Edward Rothberger, M.D.
Hospitalist
NPI 1356307870
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8300
✔ PECOS✔ Accepts MedicareSame address
Scott Kemeny, MD
Hospitalist
NPI 1639254659
10150 SE 32ND AVE
Milwaukie, OR 97222
(503) 513-8641
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Buenjemia, M.D.
Psychiatry
NPI 1982896932
10202 SE 32ND AVE STE 701
Milwaukie, OR 97222
(503) 513-1410
✔ PECOS✔ Accepts Medicare0.1 mi
Natalya Balanetskaya, PMHNP
Nurse Practitioner
NPI 1437405891
10202 SE 32ND AVE STE 701
Milwaukie, OR 97222
(971) 345-5060
✔ PECOS✔ Accepts Medicare0.1 mi
Bryan Thieme, PSYD
Clinical Psychologist
NPI 1639333511
10202 SE 32ND AVE STE 701
Milwaukie, OR 97222
(503) 513-1410
✔ PECOS✔ Accepts Medicare0.1 mi
Suzanne Funkhouser, MD
Obstetrics/Gynecology
NPI 1124451521
10330 SE 32ND AVE STE 305
Milwaukie, OR 97222
(503) 513-1800
✔ PECOS✔ Accepts Medicare0.1 mi
Kristine Kruger, MD
Family Practice
NPI 1457307977
10330 SE 32ND AVE STE 325
Portland, OR 97222
(503) 416-1960
✔ PECOS✔ 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 1881766061. It was assigned to this organization in the NPPES registry on November 14, 2006. The provider is doing business as Providence Hospitalists Southeast and Providence Medical Group.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 10150 SE 32nd Ave, Milwaukie, OR 97222. The listed phone number is (503) 513-8336.

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, 15 practice at this address and 1,105 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.