What is Providence Health & Services - Oregon's NPI number?

Providence Health & Services - Oregon's National Provider Identifier (NPI) is 1013217975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Providence Health & Services - Oregon?

Providence Health & Services - Oregon is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon's practice location on file with NPPES is 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933.

What is Providence Health & Services - Oregon's phone number?

The practice phone number listed in the NPPES registry for Providence Health & Services - Oregon is (503) 215-2075.

Who is the authorized official for Providence Health & Services - Oregon?

The authorized official listed on Providence Health & Services - Oregon's NPPES record is Donald Anderson, Assistant Secretary Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Providence Health & Services - Oregon's NPI active?

Yes — Providence Health & Services - Oregon's NPI (1013217975) is active in the NPPES registry as of the last update on 2026-03-25.

OrganizationActive

Providence Health & Services - Oregon

NPI 1013217975 · Obstetrics & Gynecology Physician · Portland, OR

Providence Health & Services - Oregon is a Obstetrics & Gynecology Physician organization in Portland, OR (NPI 1013217975).

Provider details

NPI number: 1013217975
Entity type: Organization
Primary specialty: Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Donald Anderson, Assistant Secretary Enrollment(425) 358-9786

Practice location

4805 Ne Glisan St Ste 11n

Portland, OR 97213-2933

Phone: (503) 215-2075

Fax: (503) 215-2077

Street-level locationGet directions

More OR providers

Mailing address

Po Box 31001-4180

Pasadena, CA 91110-4180

Specialties & taxonomies

Obstetrics & Gynecology PhysicianPrimary207V00000X
Allopathic & Osteopathic Physicians
Clinic/Center261Q00000X
Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as: Providence Gynecologic Oncology Clinic
Doing business as: Providence Medical Group

Profile Score

Detailed profile(83/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
16 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2010-10-26
Last updated: 2026-03-25
Certified: 2026-03-25

Frequently asked questions

What is Providence Health & Services - Oregon's NPI number?: Providence Health & Services - Oregon's National Provider Identifier (NPI) is 1013217975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Providence Health & Services - Oregon?: Providence Health & Services - Oregon is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
Where is Providence Health & Services - Oregon located?: Providence Health & Services - Oregon's practice location on file with NPPES is 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933.
What is Providence Health & Services - Oregon's phone number?: The practice phone number listed in the NPPES registry for Providence Health & Services - Oregon is (503) 215-2075.
Who is the authorized official for Providence Health & Services - Oregon?: The authorized official listed on Providence Health & Services - Oregon's NPPES record is Donald Anderson, Assistant Secretary Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Providence Health & Services - Oregon's NPI active?: Yes — Providence Health & Services - Oregon's NPI (1013217975) is active in the NPPES registry as of the last update on 2026-03-25.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions