Providence Health & Services - Oregon

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

PROVIDENCE HEALTH & SERVICES - OREGON

Practice address

1001 Providence Dr
Newberg, OR 97132-7485

Phone

(503) 537-1555

NPI assigned

Oct 18, 2016

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 Newberg 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

  • General Acute Care Hospital
  • Newberg, OR
  • NPI 1952482275

  O20040123000519

  Same enrollment

Locations

Practitioners 216

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Abraham, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Portland, OR
  • NPI 1548223381

  Internal Medicine

  NPD
• Darren G Alexander, MD

  • Emergency Medicine Physician
  • Portland, OR
  • NPI 1487678256
  NPD
• Deborah A Alexander, MD

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

  • Neurology Physician
  • Portland, OR
  • NPI 1962784298
  NPD
• Carl Bradford Anderson, M..D.

  • Occupational Medicine Physician
  • Portland, OR
  • NPI 1871619080
  NPD
• Caitlin Connor Ansel, FNP

  • Family Nurse Practitioner
  • Newberg, OR
  • NPI 1588251532
  NPD
• Lee Michael Anthony, MD

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1336551555
  NPD
• Emilia Arden, D.O.

  • Cardiovascular Disease Physician
  • La Grande, OR
  • NPI 1114123684
  NPD
• Megan Nicole Ayers, FNP

  • Family Nurse Practitioner
  • Oregon City, OR
  • NPI 1043093206
  NPD
• Lee W Ball, MD

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1194795518
  NPD
• Andrea Banke, PA-C

  • Physician Assistant
  • Newberg, OR
  • NPI 1174901854
  NPD
• Evagelia Baros, DO

  • Internal Medicine Physician
  • Tigard, OR
  • NPI 1003019340
  NPD

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1174074868",
    "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": "1001 PROVIDENCE DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327485",
            "telephone_number": "503-537-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Newberg Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providence Health & Services - Oregon
• Providence Health & Services - Oregon
• Providence Health & Services - Oregon

• Clinical Pathology Physician in Newberg, OR
• Providers in Newberg, 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.