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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1982921490
Internal Medicine - Cardiovascular Disease in Astoria, OR

Active since April 23, 2010
1355 EXCHANGE ST, ASTORIA, OR 97103(503) 836-4600(503) 836-4613 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, May 5, 2025, Apr 16, 2021 (3 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 1982921490), doing business as Providence Medical Group, is a healthcare organization registered as a cardiovascular disease in Astoria, Oregon and active in the NPI registry since April 2010. The organization lists Donald Wayne Anderson, Asst Sec For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1982921490
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1355 EXCHANGE STAstoria, OR 97103-3980
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 836-4600
Fax(503) 836-4613
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Sec For Enrollment · (425) 358-9786
Enumeration DateApril 23, 2010
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1982921490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedClinic/CenterTaxonomy 261Q00000X
1355 EXCHANGE ST, Astoria, OR 97103
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence St Vincent Heart Clinics Cardiology Astoria

Other Identifiers 1

Medicaid500622010OR

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

1,560

Medicare enrollment records show 1,560 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 2 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 56

Internal Medicine251
Family Practice213
Nurse Practitioner210
Hospitalist102
Neurology91
Obstetrics/Gynecology57
Physical Therapist in Private Practice54
Psychiatry54
48 other specialties528

Nearest to this location (20)

See all 1,560
Robert Morse, D.O.
Cardiovascular Disease (Cardiology)
NPI 1174555312
1355 EXCHANGE ST
Astoria, OR 97103
(503) 717-7850
✔ PECOS✔ Accepts MedicareSame address
Juliette Moore, MD
General Surgery
NPI 1700144615
2055 EXCHANGE ST STE 270
Astoria, OR 97103
(503) 338-4670
✔ PECOS✔ Accepts Medicare0.5 mi
Jennifer Haag, AGPCNP
Nurse Practitioner
NPI 1285095398
727 S WAHANNA RD
Seaside, OR 97138
(503) 717-7060
✔ PECOS✔ Accepts Medicare14 mi
Nicole Benthin, NP
Nurse Practitioner
NPI 1407400500
725 S WAHANNA RD STE 230
Seaside, OR 97138
(503) 741-7060
✔ PECOS✔ Accepts Medicare14 mi
Casseopia Fisher, AGACNP
Nurse Practitioner
NPI 1841078326
725 S WAHANNA RD
Seaside, OR 97138
(503) 515-1738
✔ PECOS✔ Accepts Medicare14 mi
Dominique Greco, MD
Family Practice
NPI 1558469510
725 S. WAHANNA RD
Seaside, OR 97138
(503) 717-7556
✔ PECOS✔ Accepts Medicare14 mi
Kyle Walker, MD
Internal Medicine
NPI 1689068033
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7000
✔ PECOS✔ Accepts Medicare14 mi
Karina Squire, DNP
Nurse Practitioner
NPI 1154772911
725 S WAHANNA RD
Seaside, OR 97138
(503) 717-7060
✔ PECOS✔ Accepts Medicare14 mi
Carol Opheikens, FNP-C
Nurse Practitioner
NPI 1053732677
401 SW BELAIR DR
Clatskanie, OR 97016
(503) 728-5088
✔ PECOS✔ Accepts Medicare30 mi
Muhammad Riaz, M.D
Family Practice
NPI 1053610493
1615 DELAWARE ST
Longview, WA 98632
(360) 414-7800
✔ PECOS✔ Accepts Medicare43 mi
Tarra Castillo, CNM, NMNP
Certified Nurse Midwife (CNM)
NPI 1235459041
333 SE 7TH AVE STE 5500
Hillsboro, OR 97123
(503) 597-4500
✔ PECOS✔ Accepts Medicare62 mi
Lindsay Moore, PHD
Clinical Psychologist
NPI 1083227805
5555 NE ELAM YOUNG PKWY
Hillsboro, OR 97124
(503) 216-2600
✔ PECOS✔ Accepts Medicare63 mi
Erica Hadley, MD
Pediatric Medicine
NPI 1134534928
10060 NE EVERGREEN PKWY
Hillsboro, OR 97124
(800) 813-2000
✔ PECOS64 mi
Yi-Huei Kang, MD
Internal Medicine
NPI 1528641545
10690 NE CORNELL RD STE 215
Hillsboro, OR 97124
(503) 216-5240
✔ PECOS✔ Accepts Medicare65 mi
Josiah Cobb, DPT
Physical Therapist in Private Practice
NPI 1821579053
7305 SE CIRCUIT DR STE 140
Hillsboro, OR 97123
(971) 504-4905
✔ Accepts Medicare65 mi
Erin Grinich, MD
Dermatology
NPI 1326501669
7305 SE CIRCUIT DR STE 230
Hillsboro, OR 97123
(503) 342-9925
✔ PECOS✔ Accepts Medicare65 mi
Liberato Mukul, MD
Obstetrics/Gynecology
NPI 1932129491
7305 SE CIRCUIT DR STE 260
Hillsboro, OR 97123
(503) 342-9928
✔ PECOS✔ Accepts Medicare65 mi
Kevin Woolf, MD
Cardiovascular Disease (Cardiology)
NPI 1265580054
7305 SE CIRCUIT DR STE 220
Hillsboro, OR 97123
(503) 962-1000
✔ PECOS✔ Accepts Medicare65 mi
Abigail Laverdure, OT
Occupational Therapist in Private Practice
NPI 1730038001
7305 SE CIRCUIT DR STE 140
Hillsboro, OR 97123
(971) 501-4905
✔ Accepts Medicare65 mi
Joseph Freeburg, M.D.
Neurology
NPI 1174898381
2211 NE 139TH ST STE 3E120
Vancouver, WA 98686
(360) 487-5342
✔ PECOS✔ Accepts Medicare65 mi
See all 1,560 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 1982921490. It was assigned to this organization in the NPPES registry on April 23, 2010. The provider is doing business as Providence Medical Group and Providence St Vincent Heart Clinics Cardiology Astoria.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1355 Exchange St, Astoria, OR 97103. The listed phone number is (503) 836-4600.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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), 1,560 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 (251), Family Practice (213) and Nurse Practitioner (210). Of these, 1 practice at this address and 2 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.