Providence Health & Services - Oregon

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

Legal business name

PROVIDENCE HEALTH & SERVICES - OREGON

Doing business as

Providence Newberg Medical Center

Practice address

1001 Providence Dr
Newberg, OR 97132-7485

Phone

(503) 537-1555

NPI assigned

Oct 18, 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 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

  dba Providence Newberg Medical Center

  • 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, and the practitioner matching its NPPES authorized official.

• 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"
        }
    ]
}

• Premere Rehab LLC (Infinity Rehab)
• Premier Anesthesia of Oregon PC
• Providence Health & Services (PMG Newberg Internal Medicine)
• Providence Health & Services - Oregon (Providence Medical Group)
• Providence Health & Services - Oregon (PMG Newberg Specialty Medicine)
• Providence Health & Services - Oregon (Providence Medical Group)
• Providence Health & Services - Oregon (Providence Medical Group)
• Providence Health & Services - Oregon (Providence Medical Group)
• Providence Health & Services - Oregon (PMG Newberg Surgical Services)
• Providence Health & Services - Oregon (Providence Hospitalists Newberg)

• 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.