1. Home
  2. Directory
  3. Oregon
  4. Phoenix
  5. Clinic Center
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1992882500
Clinic/Center in Phoenix, OR

Active since November 01, 2006
205 N PHOENIX RD, SUITE A, PHOENIX, OR 97535(541) 732-5760(541) 732-3406 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, May 5, 2025, Feb 28, 2018 (3 updates tracked since 2018).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1992882500), doing business as Providence Medical Group South, is a healthcare organization registered as a clinic/center in Phoenix, Oregon and active in the NPI registry since November 2006. The organization lists Donald Wayne Anderson, Asst Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1992882500
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address205 N PHOENIX RD, SUITE APhoenix, OR 97535-9104
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494
Phone(541) 732-5760
Fax(541) 732-3406
Organization SubpartYes
Authorized OfficialDonald Wayne AndersonAsst Secretary For Enrollment · (425) 525-5392
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1992882500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
205 N PHOENIX RD, Phoenix, OR 97535
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Medical Group South

Other Identifiers 2

Medicaid278307OR
OtherCG6801OR · Rail Road Mediare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

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 1992882500. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 205 N Phoenix Rd Suite A, Phoenix, OR 97535. The listed phone number is (541) 732-5760.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Providence Health & Services - Oregon accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Providence Health & Services - Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.