PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1609938471
Internal Medicine in Portland, OR

NPI Status: Active since December 15, 2006

Contact Information

9205 SW BARNES RD
MT 2800
PORTLAND, OR
ZIP 97225
Phone: (503) 216-2621
Fax: (503) 216-7488

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • 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. The healthcare provider is registered in the NPI registry with number 1609938471 assigned on December 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated June 2025. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1609938471
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
9205 SW BARNES RD MT 2800 PORTLAND, OR 97225
Location Phone
(503) 216-2621
Location Fax
(503) 216-7488
Mailing Address
PO BOX 31001 - 4180 PASADENA, CA 91110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2006
Last Update Date
06-20-2025
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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 20483459 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: Breast Prostheses and/or Accessories or Surgical Dressings or Lymphedema Compression Treatment Items.

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

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.

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 OF 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
278943MEDICAID (05)OR 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20483459
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other.
Competitive Bidding
NO

Supplies List

  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Lymphedema Compression Treatment Items -

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.
1609938471
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
260918316414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 3 + 1 + 6 + 4 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1609938471 is valid because the calculated check digit 1 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
1326041526DR. NATE D QUILICI M.D.
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-2181
1609869635 FREDRICK CHARLES WAGNER MD
Individual
Radiology (Radiation Oncology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-2195
1558342857 MARITZA MARTEL MD
Individual
Pathology (Anatomic Pathology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-7575
1902883911DR. JEFFERY THOMAS YOUNG MD
Individual
Psychiatry & Neurology (Psychiatry)9205 SW BARNES RD DEPT OF PSYCHIATRY
PORTLAND, OR 97225
(503) 216-2028
1194795500DR. ROSS A CAUTHORN MD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1063482305DR. STEVEN E ZINCK MD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1043280464DR. JUDITH L PETERS MD, PHD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1194795518DR. LEE W BALL MD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1558331819DR. AMY S WEINSTEIN MD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1891766911DR. JOHN D ROLL MD
Individual
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1861464034THE RADIOLOGY GROUP PC
Organization
Specialist9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1295787059 ALAN K MORIMOTO MD
Individual
Radiology (Diagnostic Radiology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 292-9108
1336192574DR. BEN E JACOBSON M.D.
Individual
Radiology (Diagnostic Radiology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1093769259 ANTHONY J DIRE MD
Individual
Radiology (Diagnostic Radiology)9205 SW BARNES RD
PORTLAND, OR 97225
(503) 216-4830
1518902964 NATHAN E BACHTELL MD
Individual
Internal Medicine9205 SW BARNES RD 5TH FLOOR SOUTH
PORTLAND, OR 97225
(503) 216-2906
1366488645 STUART F HAYMAN CRNFA
Individual
Registered Nurse (Registered Nurse First Assistant)9205 SW BARNES RD MT 2800
PORTLAND, OR 97225
(503) 216-2621
1225065592 NABIL TARAZI MD
Individual
Surgery9205 SW BARNES RD
PORTLAND, OR 97225
(503) 464-9875
1104854454 CAROL M BAIRD MD
Individual
Internal Medicine9205 SW BARNES RD SUITE MT 2800
PORTLAND, OR 97225
(503) 216-2621
1962431379 JENNIFER L BOWMAN MD
Individual
Psychiatry & Neurology (Psychiatry)9205 SW BARNES RD SUITE 5E
PORTLAND, OR 97225
(503) 215-6494
1386673903 STEVEN D HUNSAKER MD
Individual
Internal Medicine9205 SW BARNES RD 5TH FLOOR SOUTH
PORTLAND, OR 97225
(503) 216-2906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609938471, enumerated in the NPI registry as an "organization" on December 15, 2006

The provider is located at 9205 Sw Barnes Rd Mt 2800 Portland, Or 97225 and the phone number is (503) 216-2621

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.

This NPI record was last updated on December 15, 2006. 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.