Providence Health & Services Oregon
NPI 1003319724ActiveOrganization· Clinic/Center· Portland, OR
Clinic/Center in Portland, Oregon, registered in NPPES in March 2018. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Of Enrollments. Medicare paid $22,827 for services to 76 patients in 2024.
Overview
| NPI | 1003319724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2018 |
| Last updated in NPPES | Jun 20, 2025 |
| Certified by provider | Jun 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Mdpp Supplier - In-Person Mdpp Supplier (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 886 across 4 procedure codes |
| Paid by Medicare | $22,827 |
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All 200 Clinic/Center providers in Portland · All Clinic/Center providers in Oregon