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NPI · 1235479643 · NPPES-sourced

Providence Health & Services - Oregon

ActiveSports Medicine (Internal Medicine) Physician
NPI Number
1235479643
Type 2 · Organisation
Contact
(503) 962-1946
Primary practice line
Last Updated
About 11 months ago (Jul 2025)
Enumerated 2013-02-21
Primary practice addressOR · 97205-1705
909 Sw 18th AvePortland, OR 97205-1705
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About this NPIWhat this record shows.

NPI 1235479643 is registered to Providence Health & Services - Oregon, a healthcare organisation classified as "Sports Medicine (Internal Medicine) Physician" and located at 909 Sw 18th Ave in Portland, Oregon. The organisation's authorised official is Donald Anderson. The organisation has been enumerated in the NPI registry since 2013.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2013-02-21
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Providence Health & Services - Oregon accepts. To confirm in-network status with your specific health plan, contact Providence Health & Services - Oregon directly at (503) 962-1946.

Frequently asked

Yes. NPI 1235479643 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Sports Medicine (Internal Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (503) 962-1946.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Providence Health & Services - Oregon is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207RS0010X
Last updated2025-07
Enumerated2013-02-21
StatusActive
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