PROVIDENCE HEALTH & SERVICES OREGON – NPI #1366145716
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 PORTLAND, OR. NPPES has assigned the NPI number 1366145716 to PROVIDENCE HEALTH & SERVICES OREGON on March 24, 2023. 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. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jun 30, 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

NPI Number
1366145716
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH & SERVICES OREGON
Primary location
4400 NE HALSEY ST BLDG 2
STE 599
PORTLAND, OR 97213-1545
Phone: (503) 215-3300 Fax:
Mailing address
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone: Fax:
Organization Subpart
No
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY ENROLLMENT
Phone: (425) 358-9786
Updated
Certification Date
Jun 30, 2025

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.

Taxonomy Code(s)

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.

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.