PROVIDENCE HEALTH & SERVICES - OREGON – NPI #1053419218
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
PROVIDENCE HEALTH & SERVICES - OREGON is a provider located in GRESHAM, OR. NPPES has assigned the NPI number 1053419218 to PROVIDENCE HEALTH & SERVICES - OREGON on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was last updated on Jun 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE HEALTH & SERVICES - OREGON below.
NPI Profile for
PROVIDENCE HEALTH & SERVICES - OREGON
(more than 19 years ago)
GRESHAM, OR 97030-5506 Phone: (503) 215-9500 Fax: (503) 215-9525
1 Other location(s):
Portland, OR 97213-3052
Phone: (503) 215-6601
PASADENA, CA 91110-4180 Phone: (503) 215-6494 Fax: (503) 215-6644
ASST SEC ENROLL
Phone: (425) 358-9786
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for PROVIDENCE HEALTH & SERVICES - OREGON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | OR | 287333 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
||
| 261Q00000X - Clinic/Center |
||
| 207RE0101X - Internal Medicine / Endocrinology, Diabetes & Metabolism |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.