Providence Health & Services - Oregon
NPI 1083963573ActiveOrganization· Otolaryngology· The Dalles, OR
Otolaryngology in The Dalles, Oregon, registered in NPPES in August 2012. The authorized official on file is Donald W. Anderson, Assistant Secretary Of Enrollments.
Overview
| NPI | 1083963573 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2012 |
| Last updated in NPPES | Jun 20, 2025 |
| Certified by provider | Jun 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other otolaryngologists in The Dalles
- 1932127412
- 1427056324
- 1871693283