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Providence Health & Services Oregon

Pediatrics Physician in Longview, WA · enumerated 2008 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104097906

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services Oregon
Other name <Unavail>
Parent organization Providence Health & Services - Oregon
Practice address 971 11th Ave, Longview, WA, 98632
Phone (360) 577-1771
Enumeration date Mar 19, 2008
Last updated in NPPES Jun 20, 2025

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary of Enrollments
Phone (425) 358-9786

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Providence Health & Services Oregon?
The NPI for Providence Health & Services Oregon is 1104097906, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Health & Services Oregon?
NPPES lists Donald Anderson (Assistant Secretary of Enrollments) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-20.