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Providence Health & Services Oregon

Hematology & Oncology Physician in Portland, OR · enumerated 2007 · authorized official Donald Anderson, Asst Secretary for Enrollments.

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

National Provider Identifier

1801010004

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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 11n, Portland, OR, 97213
Fax (503) 215-8653
Enumeration date Apr 12, 2007
Last updated in NPPES Jul 4, 2025

Taxonomy & classification

207RI0008X Hepatology Physician Allopathic & Osteopathic Physicians Secondary
207RX0202X Medical Oncology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086X0206X Surgical Oncology Physician Allopathic & Osteopathic Physicians Secondary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Donald Anderson
Title Asst Secretary for Enrollments

Other identifiers

Identifier Type State Issuer
274461 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 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.
What type of organization is Providence Health & Services Oregon?
Providence Health & Services Oregon is registered in NPPES as a Hematology & Oncology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-04.