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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1982997128
Internal Medicine - Cardiovascular Disease in Milwaukie, OR

Active since May 20, 2011
10330 SE 32ND AVE, SUITE 210, MILWAUKIE, OR 97222(503) 962-1000 Get Directions Write a Review

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

Record update history: Jul 4, 2025, May 5, 2025 (2 updates tracked since 2025).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1982997128), doing business as Providence Medical Group, is a healthcare organization registered as a cardiovascular disease in Milwaukie, Oregon and active in the NPI registry since May 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1982997128
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address10330 SE 32ND AVE, SUITE 210Milwaukie, OR 97222-6594
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 962-1000
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMay 20, 2011
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1982997128 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
10330 SE 32ND AVE, Milwaukie, OR 97222
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Heart Clinic Milwaukie

Other Identifiers 1

Medicaid500638985OR

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, 20 practice at this address and 1,114 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
Lynsey Bingham, APRN-FNP
Nurse Practitioner
NPI 1346871662
10330 SE 32ND AVE STE 210
Milwaukie, OR 97222
(503) 723-6525
✔ PECOS✔ Accepts MedicareSame address
Suzanne Funkhouser, MD
Obstetrics/Gynecology
NPI 1124451521
10330 SE 32ND AVE STE 305
Milwaukie, OR 97222
(503) 513-1800
✔ PECOS✔ Accepts MedicareSame address
Jennifer Hill, PHD
Clinical Psychologist
NPI 1194048264
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Kristine Kruger, MD
Family Practice
NPI 1457307977
10330 SE 32ND AVE STE 325
Portland, OR 97222
(503) 416-1960
✔ PECOS✔ Accepts MedicareSame address
Phillip Letourneau, M.D.
General Surgery
NPI 1891021960
10330 SE 32ND AVE STE 210
Milwaukie, OR 97222
(503) 723-6525
✔ PECOS✔ Accepts MedicareSame address
Mary Parker, MD
Family Practice
NPI 1528533890
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Jennifer Parr, FNP
Nurse Practitioner
NPI 1538656434
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Laura Perry, M.D.
Internal Medicine
NPI 1912296799
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Joshua Reagan, MD
Family Practice
NPI 1124093281
10330 SE 32ND AVE SUITE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Sean Brachvogel, MD, MPH
Family Practice
NPI 1184288011
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Clyde Finch, MD
Neurology
NPI 1598884033
10330 SE 32ND AVE STE 226
Milwaukie, OR 97222
(503) 215-8020
✔ PECOS✔ Accepts MedicareSame address
Adeline Plesiu, M.D.
Neurology
NPI 1104168608
10330 SE 32ND AVE STE 226
Milwaukie, OR 97222
(503) 513-8020
✔ PECOS✔ Accepts MedicareSame address
William Ruegg, MD
Family Practice
NPI 1780900969
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Brenda Brischetto, MD
Family Practice
NPI 1306891742
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Jessica Burness, MD
Family Practice
NPI 1629034152
10330 SE 32ND AVE SUITE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Jill Christensen, MD
Family Practice
NPI 1790004497
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Diana Gill, M.D.
Obstetrics/Gynecology
NPI 1386893444
10330 SE 32ND AVE STE 305
Milwaukie, OR 97222
(503) 513-1800
✔ PECOS✔ Accepts MedicareSame address
Mandeep Kingra, MD
Obstetrics/Gynecology
NPI 1750693602
10330 SE 32ND AVE STE 305
Milwaukie, OR 97222
(503) 513-1800
✔ PECOS✔ Accepts MedicareSame address
Justin Osborn, MD
Family Practice
NPI 1649355462
10330 SE 32ND AVE STE 205
Milwaukie, OR 97222
(503) 513-8950
✔ PECOS✔ Accepts MedicareSame address
Dennis Tan, M.D.
Obstetrics/Gynecology
NPI 1457577983
10330 SE 32ND AVE STE 305
Milwaukie, OR 97222
(503) 513-1800
✔ PECOS✔ Accepts MedicareSame 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 1982997128. It was assigned to this organization in the NPPES registry on May 20, 2011. The provider is doing business as Providence Medical Group and Providence Heart Clinic Milwaukie.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 10330 SE 32nd Ave Suite 210, Milwaukie, OR 97222. The listed phone number is (503) 962-1000.

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), 1,498 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, 20 practice at this address and 1,114 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.