PROVIDENCE HEALTH & SERVICES OREGON
NPI 1447371117
Internal Medicine in Portland, OR
NPI Status: Active since April 02, 2007
Contact Information
5050 NE HOYT ST
SUITE 454
PORTLAND, OR
ZIP 97213
Phone: (503) 215-6405
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 38D0863204
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 08-21-2026
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. The healthcare provider is registered in the NPI registry with number 1447371117 assigned on April 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated July 2025. Providence Health & Services Oregon operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's
- NPI
- 1447371117
- Provider Legal Name
- PROVIDENCE HEALTH & SERVICES OREGON
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 5050 NE HOYT ST SUITE 454 PORTLAND, OR 97213
- Location Phone
- (503) 215-6405
- Mailing Address
- PO BOX 31001 - 4180 PASADENA, CA 91110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-02-2007
- Last Update Date
- 07-04-2025
- Code Navigator
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.
Location Map
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
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 5000 Silver - EPO
- Connect 9200 Bronze - EPO
- HSA Qualified 7100 Bronze - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
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.
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 |
|---|---|---|---|
| 048624 | MEDICAID (05) | OR |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D0863204
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- August 22, 2024
- Certificate Expiration Date
- August 21, 2026
- Laboratory Director
- KIMBERLY J. HERDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Health & Services Oregon to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PROVIDENCE HEALTH & SERVICES OREGON
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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. | |||||||||
| 1 | 4 | 4 | 7 | 3 | 7 | 1 | 1 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 8 | 7 | 6 | 7 | 2 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 8 + 7 + 6 + 7 + 2 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1447371117 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1558364570 | BRUCE WILSON DANA M.D. Individual | Internal Medicine (Medical Oncology) | 5050 NE HOYT ST STE 256 PORTLAND, OR 97213 (503) 239-7767 |
| 1922001692 | DR. REBECCA LYNN ORWOLL M.D. Individual | Internal Medicine (Hematology) | 5050 NE HOYT ST STE 256 PORTLAND, OR 97213 (503) 239-7767 |
| 1871596551 | DR. JEFFREY IRVING MENASHE M.D. Individual | Internal Medicine (Hematology & Oncology) | 5050 NE HOYT ST STE 256 PORTLAND, OR 97213 (503) 239-7767 |
| 1053314633 | DR. EDWARD WEILIE SOO M.D. Individual | Internal Medicine (Medical Oncology) | 5050 NE HOYT ST STE 256 PORTLAND, OR 97213 (503) 239-7767 |
| 1467455014 | WILLIAM M MOONEY M.D. Individual | Internal Medicine (Hematology & Oncology) | 5050 NE HOYT ST STE 362 PORTLAND, OR 97213 (503) 232-7000 |
| 1528061173 | MARK SELIGMAN M.D. Individual | Internal Medicine (Hematology & Oncology) | 5050 NE HOYT ST STE 362 PORTLAND, OR 97213 (503) 232-7000 |
| 1427051077 | DR. JOHN WASHBURN SMITH II M.D. Individual | Internal Medicine (Medical Oncology) | 5050 NE HOYT ST STE 256 PORTLAND, OR 97213 (503) 239-7767 |
| 1154327658 | PORTLAND SURGICAL ONCOLOGY, PC Organization | Surgery | 5050 NE HOYT ST STE 317 PORTLAND, OR 97213 (503) 239-0092 |
| 1104824648 | MICHAEL BRUCE WYMAN M.D. Individual | Specialist | 5050 NE HOYT ST SUITE 340 PORTLAND, OR 97213 (503) 234-9861 |
| 1982602421 | ROBERT TODD DIXON P.A. Individual | Physician Assistant (Medical) | 5050 NE HOYT ST PORTLAND, OR 97213 (503) 234-9861 |
| 1558361808 | ROBERT GOLD MD Individual | Psychiatry & Neurology (Psychiatry) | 5050 NE HOYT ST STE 522 PORTLAND, OR 97213 (503) 236-4343 |
| 1255324596 | ROBERT ALAN ROSENBAUM MD Individual | Psychiatry & Neurology (Neurology) | 5050 NE HOYT ST SUITE 315 PORTLAND, OR 97213 (503) 963-3100 |
| 1942298187 | NANCY ANN CUROSH MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5050 NE HOYT ST SUITE 234 PORTLAND, OR 97213 (503) 238-2941 |
| 1730160516 | ROBERT ALLAN SAMPSON DPM Individual | Podiatrist | 5050 NE HOYT ST STE 235 PORTLAND, OR 97213 (503) 408-1102 |
| 1275515041 | PATRICIA ANN BURFORD MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5050 NE HOYT ST #414 PORTLAND, OR 97213 (503) 445-8080 |
| 1467434209 | EYE HEALTH NORTHWEST OPTICAL, LLC Organization | Eyewear Supplier | 5050 NE HOYT ST SUITE 200 PORTLAND, OR 97213 (503) 255-2291 |
| 1649253626 | LINDA S BEALE MD Individual | Physical Medicine & Rehabilitation | 5050 NE HOYT ST NUMBER 353 PORTLAND, OR 97213 (503) 230-2833 |
| 1639152465 | ROBERT J LAIRD MD Individual | Ophthalmology | 5050 NE HOYT ST STE 445 PORTLAND, OR 97213 (503) 231-0166 |
| 1730163833 | DR. GREGG REITER PHD Individual | Clinical Neuropsychologist | 5050 NE HOYT ST STE 422 PORTLAND, OR 97213 (503) 236-4343 |
| 1326022989 | DR. THOMAS FRANCIS FLYNN MD Individual | Psychiatry & Neurology (Psychiatry) | 5050 NE HOYT ST STE 422 PORTLAND, OR 97213 (503) 236-4343 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447371117, enumerated in the NPI registry as an "organization" on April 02, 2007
The provider is located at 5050 Ne Hoyt St Suite 454 Portland, Or 97213 and the phone number is (503) 215-6405
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D0863204 for a "mobile laboratory" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 02, 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].
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