PROVIDENCE HEALTH & SERVICES OREGON
NPI 1043366172
Internal Medicine - Hospice and Palliative Medicine in Portland, OR

NPI Status: Active since January 25, 2007

Contact Information

6410 NE HALSEY ST
SUITE 300
PORTLAND, OR
ZIP 97213
Phone: (503) 215-4691

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  • Organization
  • Internal Medicine
  • Hospice and Palliative Medicine
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PROVIDENCE HEALTH & SERVICES OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services Oregon, an internist established in Portland, Oregon operating as a Internal Medicine, focusing in hospice and palliative medicine . The healthcare provider is registered in the NPI registry with number 1043366172 assigned on January 2007. The practitioner's primary taxonomy code is 207RH0002X. The provider is registered as an organization and their NPI record was last updated May 2025. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Enrollments)

NPI
1043366172
Provider Legal Name
PROVIDENCE HEALTH & SERVICES OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
6410 NE HALSEY ST SUITE 300 PORTLAND, OR 97213
Location Phone
(503) 215-4691
Mailing Address
PO BOX 3158 PORTLAND, OR 97208
Mailing Phone
(503) 215-6494
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-25-2007
Last Update Date
05-16-2025
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An internist like Providence Health & Services Oregon is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Providence Health & Services Oregon is a medicare supplier with PTAN 20483507 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Mail Order) or Gastric Suction Pumps or Heat & Cold Applications or Hospital Beds (Electric) or Speech Generating Devices or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Traction Equipment or Ultraviolet Light Devices and/or Supplies or Canes and/or Crutches or Patient Lifts or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf or Tracheotomy Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Mechanical In-Exsufflation Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Ventilators Accessories and/or Supplies or Surgical Dressings.

Location Map

Secondary Locations

  • 3601 SW Murray Blvd Ste 130
    Beaverton, OR 97005
    (503) 215-2669

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Hospice and Palliative Medicine

Taxonomy Code
207RH0002X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2261Q00000XAmbulatory Health Care Facilities

Clinic/Center

(OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
247685MEDICAID (05)OR 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20483507
Accepts Medicare Assignment
YES
Specialities List
MSC With Respiratory Therapist.
Provider Type List
OXYGEN & EQUIPMENT.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Gastric Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Speech Generating Devices - Digitized speech devices, Synthesized speech devices
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • Traction Equipment - Traction tables, Traction machines, Inversion tables
  • Ultraviolet Light Devices and/or Supplies - Hand-held phototherapy devices, UV light therapy panels, Multidirectional light therapy
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Tracheotomy Supplies - Tracheostomy care kits
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • Mechanical In-Exsufflation Devices - Mechanical in-exsufflation devices are designed to slowly inflate the lungs with positive pressure during inspiration and simulate cough with rapidly applied negative pressure during expiration.
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Assist Devices -
  • Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Ventilators Accessories and/or Supplies - Volume control ventilator, Pressure support ventilator
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043366172
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20836612114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 6 + 6 + 1 + 2 + 1 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1043366172 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467431452 WILLIAM J KENNEDY DO
Individual
Internal Medicine6410 NE HALSEY ST STE 300
PORTLAND, OR 97213
(503) 215-4691
1215973771 JULIA J GIES FNP
Individual
Nurse Practitioner6410 NE HALSEY ST STE 300
PORTLAND, OR 97213
(503) 215-4691
1972532836 MARY E GEARN MD
Individual
Internal Medicine (Medical Oncology)6410 NE HALSEY ST SUITE 300
PORTLAND, OR 97213
(503) 215-4691
1699949198 THOMAS I NORBY LCSW
Individual
Social Worker (Clinical)6410 NE HALSEY ST STE 300
PORTLAND, OR 97213
(503) 215-4691
1285896464 LAURA EGLI CONDIT RD, CNSD, LD
Individual
Dietitian, Registered6410 NE HALSEY ST 500
PORTLAND, OR 97213
(503) 754-3515
1124257746 JENNIFER M LEVI MSW
Individual
Social Worker (Clinical)6410 NE HALSEY ST SUITE 300
PORTLAND, OR 97213
(503) 215-4691
1285945303 KATHRYNE M SKINNER MSW, LCSW
Individual
Social Worker (Clinical)6410 NE HALSEY ST STE 300
PORTLAND, OR 97213
(503) 215-2669
1942516687MS. RACHEL ELLEN BIEBER RN
Individual
Registered Nurse6410 NE HALSEY ST
PORTLAND, OR 97213
(503) 215-2273
1932479250 JENNIFER C LAWRENCE MSW, LCSW
Individual
Social Worker (Clinical)6410 NE HALSEY ST STE 300
PORTLAND, OR 97213
(503) 215-4691
1780940171 ELLEN S RAGAN MSW, LCSW
Individual
Social Worker (Clinical)6410 NE HALSEY ST SUITE 300
PORTLAND, OR 97213
(503) 215-4691
1790969178DR. BETHANY ANN ARSENAULT PHARM.D.
Individual
Pharmacist6410 NE HALSEY ST SUITE 400
PORTLAND, OR 97213
(506) 215-8606
1801938246 VICTORIA AMADOR F.N.P.
Individual
Nurse Practitioner (Family)6410 NE HALSEY ST SUITE 300
PORTLAND, OR 97213
(503) 215-4691
1548323009 ELKE P LOWENKOPF MD
Individual
Internal Medicine (Hospice and Palliative Medicine)6410 NE HALSEY ST SUITE 300
PORTLAND, OR 97213
(503) 215-2669
1205871993 SHARON F LISSMAN MD
Individual
Internal Medicine (Hospice and Palliative Medicine)6410 NE HALSEY ST SUITE 300
PORTLAND, OR 97213
(503) 215-4691
1265515456 MARIAN OSBOURNE HODGES MD
Individual
Internal Medicine (Geriatric Medicine)6410 NE HALSEY ST SUITE 300
PORTLAND, OR 97213
(503) 215-4691
1386230571 JEFF JOHNSON
Individual
Social Worker (Clinical)6410 NE HALSEY ST
PORTLAND, OR 97213
(503) 215-4663
1083476998 NADIA LYNN SANCHEZ- TAMBERELLI RN
Individual
Registered Nurse (Home Health)6410 NE HALSEY ST
PORTLAND, OR 97213
(503) 215-4321
1023876604 JENNIFER MCEVOY
Individual
Occupational Therapist6410 NE HALSEY ST STE 200
PORTLAND, OR 97213
(503) 215-4321
1053178087 JILL VONDERHAAR
Individual
Physical Therapist6410 NE HALSEY ST STE 200
PORTLAND, OR 97213
(503) 215-4321
1063279099 KATE OLSEN
Individual
Registered Nurse6410 NE HALSEY ST STE 200
PORTLAND, OR 97213
(503) 215-4321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043366172, enumerated in the NPI registry as an "organization" on January 25, 2007

The provider is located at 6410 Ne Halsey St Suite 300 Portland, Or 97213 and the phone number is (503) 215-4691

This medical organization specializes in Internal Medicine with taxonomy code 207RH0002X with a focus in Hospice and Palliative Medicine

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.