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Providence Health & Services - Oregon

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Portland, OR · enumerated 2012 · authorized official Donald Anderson, Assistant Secretary Enrollment.

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

National Provider Identifier

1396019451

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services - Oregon
Other name <Unavail>
Practice address 4805 Ne Glisan St, Ste 6n50, Portland, OR, 97213
Enumeration date Mar 6, 2012
Last updated in NPPES Jun 30, 2025

Taxonomy & classification

208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Allopathic & Osteopathic Physicians Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary Enrollment

Other identifiers

Identifier Type State Issuer
500644062 Medicaid OR -

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 type of organization is Providence Health & Services - Oregon?
Providence Health & Services - Oregon is registered in NPPES as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-30.