PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1710307715
Clinic/Center in Portland, OR

NPI Status: Active since April 17, 2014

Contact Information

1321 NE 99TH AVE
SUITE 110A
PORTLAND, OR
ZIP 97220
Phone: (855) 229-6460

Get Directions Reviews

  • Organization
  • Clinic/Center

About PROVIDENCE HEALTH & SERVICES - OREGON

This page provides the complete NPI Profile along with additional information for Providence Health & Services - Oregon, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1710307715 assigned on April 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated July 2025. The provider's . The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Enrollment)

NPI
1710307715
Provider Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1321 NE 99TH AVE SUITE 110A PORTLAND, OR 97220
Location Phone
(855) 229-6460
Mailing Address
PO BOX 3158 PORTLAND, OR 97208
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2014
Last Update Date
07-04-2025
Code Navigator

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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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 ENROLLMENT
Authorized Official Phone
(425) 358-9786

Reviews for PROVIDENCE HEALTH & SERVICES - OREGON

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1710307715
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720601472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 0 + 1 + 4 + 7 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1710307715 is valid because the calculated check digit 5 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
1346234606 MARINA MEZEY MD
Individual
Family Medicine1321 NE 99TH AVE SUITE 200
PORTLAND, OR 97220
(503) 215-4250
1447212865DR. JIMMY MING-YUH LIAO MD
Individual
Family Medicine1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-9900
1881641397MS. NORI ALEA TREVARTHEN FNP
Individual
Nurse Practitioner (Family)1321 NE 99TH AVE STE 100
PORTLAND, OR 97220
(503) 215-9900
1427092139DR. STEVEN J MANDELBLATT M.D.
Individual
Internal Medicine1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-9900
1437194891DR. KAY M GATES MD
Individual
Internal Medicine1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-4050
1780614727 JODI K DEMUNTER MD
Individual
Family Medicine1321 NE 99TH AVE SUITE 200
PORTLAND, OR 97220
(503) 215-4250
1417973561 CRAIG L STEPHENS MD
Individual
Family Medicine1321 NE 99TH AVE SUITE 200
PORTLAND, OR 97220
(503) 215-4250
1700971835 DOLORES L FOGLIO FNP
Individual
Nurse Practitioner1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-9900
1831263953MS. SARA J DAVIS-RISEN
Individual
Nurse Practitioner (Family)1321 NE 99TH AVE STE 100
PORTLAND, OR 97220
(503) 215-9900
1700072220 LINDA JOYCE THIMSEN FREDERICKS FNP
Individual
Nurse Practitioner (Family)1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-9900
1750544037DR. DANIEL DEVEE ROBERTS M.D.
Individual
Family Medicine1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-4014
1588814172 ANNAMARIE BAIN FNP
Individual
Nurse Practitioner (Family)1321 NE 99TH AVE STE 100
PORTLAND, OR 97220
(503) 215-9900
1619290863 WAJMA NIAZI PA-C
Individual
Physician Assistant1321 NE 99TH AVE STE 100
PORTLAND, OR 97220
(503) 215-9900
1255423158 PATRICIA G GREEN N.P.
Individual
Nurse Practitioner (Family)1321 NE 99TH AVE STE 200
PORTLAND, OR 97220
(503) 215-4250
1205866969 LARLENE M DUNSMUIR FNP
Individual
Nurse Practitioner (Family)1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-9900
1750475356 ELAINE R MARCUS MD
Individual
Family Medicine1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-9900
1427263151 JOHN SELBY BARTON JR. M.D.
Individual
Family Medicine1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-9900
1588768717DR. ROBIN LYNNE REDWINE MD
Individual
Family Medicine1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-9900
1558307546 HEATHER BEECHER MD
Individual
Family Medicine1321 NE 99TH AVE SUITE 200
PORTLAND, OR 97220
(503) 215-4250
1790793230 JAMES MATTHEW BARTRUFF MD
Individual
Internal Medicine1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220
(503) 215-9900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710307715, enumerated in the NPI registry as an "organization" on April 17, 2014

The provider is located at 1321 Ne 99th Ave Suite 110a Portland, Or 97220 and the phone number is (855) 229-6460

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on April 17, 2014. 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.