Organization Active NPI

Oregon Anesthesiology Group PC

  • Anesthesiology Physician
  • Portland, OR
National Provider Identifier
1477527786
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
OREGON ANESTHESIOLOGY GROUP PC
Practice address
707 SW Washington St
Suite 700
Portland, OR 97205-3536
Phone
(503) 299-9906
Fax
(503) 225-9002
NPI assigned
Feb 14, 2006
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Lorissa Addabbo
Title
Chief Executive Officer
Phone
(503) 299-9906

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Addiction Medicine (Anesthesiology) Physician 207LA0401X
Critical Care Medicine (Anesthesiology) Physician 207LC0200X
Pain Medicine (Anesthesiology) Physician 207LP2900X

Addresses

Primary practice location

707 SW Washington St
Suite 700
Portland, OR 97205-3536

Mailing address

PO Box 35147
#1801
Portland, OR 98124-5147
Phone (503) 299-9906

Other identifiers 7

IdentifierTypeStateIssuer
7301542MedicaidWA
054544MedicaidOR
1477527786MedicaidMT
CS6612OtherORRR MEDICARE
1477527786MedicaidID
200892280MedicaidIN
4174372 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031226000058 OR Part B Supplier - Clinic/Group Practice 3476451659 Receives reassigned benefits from 279 practitioners
Practice locations: Portland, OR; Salem, OR; Springfield, OR; Tualatin, OR; Wilsonville, OR; Beaverton, OR; Corvallis, OR; Eugene, OR…
O20231116003035 WA Part B Supplier - Clinic/Group Practice 3476451659 Receives reassigned benefits from 179 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations (25 of 26)

8700 Beverly Blvd
#2900A
West Hollywood, CA 90048
Phone (310) 227-1382

1200 S Church St
Ste 17
Mount Laurel, NJ 08054

1500 NW Bethany Blvd
Ste 100
Beaverton, OR 97006
Phone (503) 619-1100

15390 NW Cornell Rd
#124
Beaverton, OR 97006

16985 NW Cornell Rd
Beaverton, OR 97006
Phone (503) 533-4800

1128 NE 2nd St
Ste 201
Corvallis, OR 97330
Phone (541) 757-7100

3509 NW Samaritan Dr
Ste 201
Corvallis, OR 97330
Phone (541) 768-4260

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

11782 SW Barnes Rd
Bldg C
Portland, OR 97225
Phone (503) 906-4300

11782 SW Barnes Rd
Ste 20
Portland, OR 97225

120 NW 14th Ave
Ste 300
Portland, OR 97209

12400 NW Cornell Rd
Ste 220
Portland, OR 97229

1515 NW 18th Ave
Portland, OR 97209
Phone (503) 228-1306

1620 SW Taylor St
Ste 300
Portland, OR 97205
Phone (503) 279-8417

1849 NW Kearney St
Ste 201
Portland, OR 97209
Phone (503) 274-0045

2222 NW Lovejoy St
#404
Portland, OR 97210

5050 NE Hoyt St
Ste 511
Portland, OR 97213
Phone (503) 232-0942

5415 SW Westgate Dr
Ste L7
Portland, OR 97221
Phone (503) 292-8824

707 SW Washington St
Portland, OR 97205

707 SW Washington St
Ste 707
Portland, OR 97205

9427 SW Barnes Rd
Ste 394
Portland, OR 97225
Phone (503) 297-6511

3099 River Rd S
Ste 100
Salem, OR 97302
Phone (503) 361-3094

19801 SW 72nd Ave
Ste 170
Tualatin, OR 97062
Phone (503) 783-0542

6370 SW Borland Rd
Tualatin, OR 97062

Practitioners & affiliated clinicians

Practitioners 517

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.

View all 517

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1477527786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35147",
            "address_2": "#1801",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "981245147",
            "telephone_number": "503-299-9906",
            "fax_number": "503-225-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SW WASHINGTON ST",
            "address_2": "SUITE 700",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053536",
            "telephone_number": "503-299-9906",
            "fax_number": "503-225-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON ANESTHESIOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "ADDABBO",
        "authorized_official_first_name": "LORISSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-299-9906"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301542",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054544",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477527786",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CS6612",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477527786",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200892280",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4174372 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.