PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1891026647
General Practice in Oregon City, OR

Active since January 19, 2010
1510 DIVISION ST, SUITE 200, OREGON CITY, OR 97045(503) 650-6880(503) 650-6888 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, Apr 16, 2021 (2 updates tracked since 2021).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1891026647), doing business as Providence Medical Group, is a healthcare organization registered as a general practice in Oregon City, Oregon and active in the NPI registry since January 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1891026647
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1510 DIVISION ST, SUITE 200Oregon City, OR 97045-1599
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Fax(503) 650-6888
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateJanuary 19, 2010
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1891026647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
1510 DIVISION ST, Oregon City, OR 97045

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Oregon City

Other Identifiers 1

Medicaid500619146OR

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, 29 practice at this address and 187 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
Gastroenterology
NPI 1740205830
1510 DIVISION ST STE 210
Oregon City, OR 97045
(503) 723-6525
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1003811373
1510 DIVISION ST STE 180
Oregon City, OR 97045
(503) 742-6900
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1629168646
1510 DIVISION ST STE 210
Oregon City, OR 97045
(503) 723-6525
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1154327625
1510 DIVISION ST STE 200
Oregon City, OR 97045
(503) 962-1000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1568606770
1510 DIVISION ST STE 200
Oregon City, OR 97045
(503) 650-6880
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1659735751
1510 DIVISION ST STE 210
Oregon City, OR 97045
(503) 723-6525
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1073625703
1510 DIVISION ST STE 200
Oregon City, OR 97045
(503) 962-1000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1831776582
1500 DIVISION ST
Oregon City, OR 97045
(503) 656-1631
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043093206
1500 DIVISION ST STE 220
Oregon City, OR 97045
(503) 513-1900
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1760667059
1500 DIVISION ST
Oregon City, OR 97045
(503) 650-6270
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598427296
1500 DIVISION ST
Oregon City, OR 97045
(503) 650-6270
✔ PECOSSame address
Internal Medicine
NPI 1205402245
1500 DIVISION ST
Oregon City, OR 97045
(503) 650-6270
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1285970343
1500 DIVISION ST
Oregon City, OR 97045
(503) 650-6270
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1770599185
1500 DIVISION ST CHILD CLINIC
Oregon City, OR 97045
(503) 722-3700
✔ PECOS✔ Accepts MedicareSame address
Hematology
NPI 1912343807
1500 DIVISION ST STE 220
Oregon City, OR 97045
(503) 513-1900
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1629698675
1500 DIVISION ST
Oregon City, OR 97045
(503) 650-6270
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1447451794
1500 DIVISION ST STE 220
Oregon City, OR 97045
(503) 513-1900
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1578966362
1500 DIVISION ST FL 2
Oregon City, OR 97045
(503) 574-9235
✔ PECOSSame address
Clinical Social Worker
NPI 1427432145
1511 DIVISION ST STE 101
Oregon City, OR 97045
(503) 722-3705
✔ PECOSSame address
Mental Health Counselor
NPI 1811023310
1511 DIVISION ST STE 101
Oregon City, OR 97045
(503) 722-3705
✔ PECOSSame address
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 1891026647. It was assigned to this organization in the NPPES registry on January 19, 2010. The provider is doing business as Providence Medical Group and Providence Medical Group Oregon City.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1510 Division St Suite 200, Oregon City, OR 97045. The listed phone number is (503) 650-6880.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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, 29 practice at this address and 187 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.