Providence Health & Services - Oregon

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

PROVIDENCE HEALTH & SERVICES - OREGON

Doing business as

Providence Willamette Falls Medical Center

Practice address

1500 Division St
Oregon City, OR 97045-1527

Phone

(503) 656-1631

NPI assigned

Oct 26, 2016

Last updated

May 27, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald W Anderson Jr.

Title

Assistant Secretary Enrollments

Phone

(425) 358-9786

Specialties & licenses 6

Addresses

Other names 1

• Providence Willamette Falls Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Providence Health & Services - Oregon

  dba Providence Willamette Falls Medical Center

  • General Acute Care Hospital
  • Oregon City, OR
  • NPI 1912282369

  O20120319000430

  Same enrollment

Locations

Practitioners 203

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah A Alexander, MD

  • Internal Medicine Physician
  • Gresham, OR
  • NPI 1255369559
  NPD
• Prakash Ambady, M.D.

  • Neurology Physician
  • Portland, OR
  • NPI 1962784298
  NPD
• Zachary Amos, DO

  • Internal Medicine Physician
  • Oregon City, OR
  • NPI 1831776582
  NPD
• Ellen L Andrae, MD

  • Neurology Physician
  • Newberg, OR
  • NPI 1427248202
  NPD
• Megan Nicole Ayers, FNP

  • Family Nurse Practitioner
  • Oregon City, OR
  • NPI 1043093206
  NPD
• Rick Balestra, M.D.

  • Pulmonary Disease Physician
  • Portland, OR
  • NPI 1184824351
  NPD
• Amit A Barve, MD

  • Hospitalist Physician
  • Oregon City, OR
  • NPI 1760667059

  Internal Medicine

  NPD
• Hannah Gale Beachwood, DO

  • Emergency Medicine Physician
  • Oregon City, OR
  • NPI 1497498711
  NPD
• James G Beckerman, MD

  • Cardiovascular Disease Physician
  • Portland, OR
  • NPI 1487697488
  NPD
• Jason Shawn Bensch, M.D.

  • Cardiovascular Disease Physician
  • Portland, OR
  • NPI 1164765111

  Internal Medicine

  NPD
• Douglas P Blackall, MD

  • Clinical Pathology Physician
  • Portland, OR
  • NPI 1891885380
  NPD
• Rosario P Bonafede, MD

  • Rheumatology Physician
  • Portland, OR
  • NPI 1730125667
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1003368911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4199",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451527",
            "telephone_number": "503-656-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Willamette Falls Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophia Presley
• Susan K Preston, PHD
• Proactive Orthopedic and Sports Physical Therapy of Oregon City LLC
• Robert Prouty
• Providence Health & Services (Providence Medical Group)
• Providence Health & Services - Oregon (Providence Medical Group)
• Providence Health & Services - Oregon (Providence Hospitalists WF)
• Providence Health & Services - Oregon (Providence Medical Group)
• Providence Health & Services - Oregon (Providence Medical Group)
• Providence Health & Services - Oregon (Provdience Medical Group)

• Clinical Pathology Physician in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Clinical Pathology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.