Providence Health & Services - Oregon
Organization Active NPI Clinical Pathology Physician · Oregon City, OR
NPI 1003368911 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1003368911
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Pathology Physician 207ZC0006X
- Legal business name
- PROVIDENCE HEALTH & SERVICES - OREGON
- Practice address
- 1500 Division St
Oregon City, OR 97045-1527 - Phone
- (503) 656-1631
- NPI assigned
- Oct 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Donald W Anderson Jr.
- Title
- Assistant Secretary Enrollments
- Phone
- (425) 358-9786
Other NPIs on the same Medicare enrollment 1
Practitioners 208
-
Prakash Ambady, M.D.
-
Zachary Amos, DO
-
Ellen L Andrae, MD
-
Megan Nicole Ayers, FNP
-
Rick Balestra, M.D.
-
Amit A Barve, MD
-
Jason Shawn Bensch, M.D.
-
Diane Michelle Brace, FNP-BC
-
Jane Hellier Bryant, ACNP
-
Rhett Butler, M.D.
-
Jin H Cai, D.O.
-
Xiaohong Cai, MD
-
Todd A Caulfield, MD
-
Andrea Lauer Chakrapani, M.D.
-
Aaron J Chan, MD
-
Leah Burke Chapman, DNP, ACNPC-AG
-
Rayoung Chung, ANP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120319000430 | OR | Part B Supplier - Clinic/Group Practice | 5294901922 |
Receives reassigned benefits from 213 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Canby, OR; Oregon City, OR |
National Provider Directory
Locations
200 S Hazel Dell Way
Ste 102
Canby, OR 97013
Phone (503) 263-9500
200 S Hazel Dell Way
Ste 200
Canby, OR 97013
Phone (503) 263-9500
1511 Division St
Ste 201
Oregon City, OR 97045
Phone (503) 657-6747
1510 Division St
Ste 130
Oregon City, OR 97045
Phone (503) 656-5220
1511 Division St
Ste 203
Oregon City, OR 97045
Phone (503) 742-6773
1508 Division St
Ste 215
Oregon City, OR 97045
Phone (503) 215-6660
1511 Division St
Ste 201B
Oregon City, OR 97045
Phone (503) 722-3757
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Clinical Pathology Physician |
207ZC0006X | Yes | ||
| Body Imaging Physician |
2085B0100X |
Addresses
Primary practice location
1500 Division St
Oregon City, OR 97045-1527
Mailing address
PO Box 31001-4199
Pasadena, CA 91110-4199
Other names
- Providence Willamette Falls Medical Center
Other providers in Oregon City, OR
- Susan K Preston
- Proactive Orthopedic and Sports Physical Therapy of Oregon City LLC
- Maria V Prokhorova
- Robert Prouty
- Providence Health & Services
- Providence Health & Services - Oregon
- Providence Health & Services - Oregon
- Providence Health & Services - Oregon
- Providence Health & Services - Oregon
- Providence Health & Services - Oregon
All providers in Oregon City, OR · Clinical Pathology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.