Providence Health & Services Oregon
NPI 1023488343ActiveOrganization· General Practice· Lake Oswego, OR
General Practice in Lake Oswego, Oregon, registered in NPPES in September 2015. The authorized official on file is Donald Wayne Anderson, Asst Secretary For Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023488343 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2015 |
| Last updated in NPPES | Jun 20, 2025 |
| Certified by provider | Jun 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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