Providence Health & Services - Oregon
NPI 1407109937ActiveOrganization· Oral & Maxillofacial Surgery· Portland, OR
Oral & Maxillofacial Surgery in Portland, Oregon, registered in NPPES in October 2012. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Enrollment.
Overview
| NPI | 1407109937 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 22, 2012 |
| Last updated in NPPES | Mar 23, 2026 |
| Certified by provider | Mar 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Oral & Maxillofacial Surgery Primary | 204E00000X | — | — |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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