Providence Health & Services Oregon
NPI 1366145716 · Family Medicine Physician · Portland, OR
Providence Health & Services Oregon is a Family Medicine Physician organization in Portland, OR (NPI 1366145716).
Provider details
- NPI number
- 1366145716
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Integrative Medicine Physician202D00000X
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Occupational Medicine Physician2083X0100X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Medical Group
- Doing business as
- Providence Medical Group
Registry dates
- Enumerated
- 2023-03-24
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Frequently asked questions
- What is Providence Health & Services Oregon's NPI number?
- Providence Health & Services Oregon's National Provider Identifier (NPI) is 1366145716, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health & Services Oregon located?
- Providence Health & Services Oregon's practice location on file with NPPES is 4400 Ne Halsey St Bldg 2, Portland, OR 97213-1545.
- 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) 215-3300.
- 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 (1366145716) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.