PROVIDENCE HEALTH & SERVICES - OREGON (NPI# 1356786388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356786388 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Other Organization Name | PROVIDENCE ST VINCENT CARDIAC DEVICE AND MONITORING CLINIC NEWBERG |
| Practice Address |
1003 Providence Dr Suite 315 Newberg OR 97132-7524 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032162188 |
| Practice Fax Number | 5032160820 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | KEENAN B FREEMAN (CFO) |
| Authorized Official Telephone | 5038936524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500661484 | 05 |
| Other Name | Type Code |
|---|---|
| Providence St Vincent Cardiac Device and Monitoring Clinic Newberg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922481456 | Providence Health & Services - Oregon | Psychiatry & Neurology | 10830 Highway 62, Eagle Point, OR 97524-9516 | 2015-07-01 |
| 1023440435 | Providence Health & Services - Oregon | General Acute Care Hospital | 11445 Se Moon Dust Ct, Happy Valley, OR 97086-8033 | 2013-08-08 |
| 1568793313 | Providence Health & Services - Oregon | Clinic/Center | 17550 Provost St Ste 201, Lake Oswego, OR 97034-5199 | 2010-01-19 |
| 1508015348 | Providence Health & Services - Oregon | Clinic/Center | 16180 Se Sunnyside Road, Suite 102, Happy Valley, OR 97015-6302 | 2008-09-17 |
| 1114085545 | Providence Health & Services - Oregon | Internal Medicine | 1314 E Sherman St, Newberg, OR 97132-1842 | 2006-12-05 |
| 1629146121 | Providence Health & Services - Oregon | Otolaryngology | 310 Villa Rd, Suite 104, Newberg, OR 97132-1886 | 2006-12-01 |
| 1992882500 | Providence Health & Services - Oregon | Clinic/Center | 205 N Phoenix Rd, Suite A, Phoenix, OR 97535-9104 | 2006-11-01 |
| 1013018175 | Providence Health & Services - Oregon | Clinic/Center | 510 Bridge St, Vernonia, OR 97064-1218 | 2006-09-25 |
| 1447799523 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd Ste 170, Medford, OR 97504-5590 | 2017-02-22 |
| 1063963106 | Providence Health & Services - Oregon | Clinic/Center | 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504-5589 | 2016-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Oregon | 1801 Lind Avenue, Sw, Renton, WA 98057-9016 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 4400 Ne Halsey St Bldg 2 Ste 690, Portland, OR 97213-1545 |
| Iowa Business Entities | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave. Sw, Renton, WA 98057 |
| Washington State Corporations | PROVIDENCE HEALTH & SERVICES - OREGON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
| Street Address |
1003 PROVIDENCE DR SUITE 315 |
| City | NEWBERG |
| State | OR |
| Zip Code | 97132-7524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363190 | Joshua Laurence Johnson IIi | Psychiatry & Neurology | 1003 Providence Dr, Suite 210, Newberg, OR 97132-7521 | 2005-08-19 |
| 1275008096 | Anna L Hiebert | Nurse Practitioner | 1003 Providence Dr, Newberg, OR 97132-7521 | 2018-10-08 |
| 1285091892 | Brandy Hayes | Nurse Practitioner | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2016-01-27 |
| 1508267253 | Amanda S Pinzon | Physician Assistant | 1003 Providence Dr, Newberg, OR 97132-7521 | 2014-09-12 |
| 1558787051 | Katherine Schneidmiller | Physician Assistant | 1003 Providence Dr, Newberg, OR 97132-7521 | 2014-03-09 |
| 1073943270 | Katherine Forba | Physician Assistant | 1003 Providence Dr, #210, Newberg, OR 97132-7521 | 2013-11-25 |
| 1447688916 | Jeri Turgesen | Psychologist | 1003 Providence Dr, Suite 101, Newberg, OR 97132-7521 | 2013-10-21 |
| 1497187710 | Providence Health & Services -oregon | Internal Medicine | 1003 Providence Dr, Suite 310, Newberg, OR 97132-7524 | 2013-08-09 |
| 1225378615 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2013-02-21 |
| 1679817704 | Matthew Christopher Becker | Internal Medicine | 1003 Providence Dr, Suite 110, Newberg, OR 97132-7521 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
| 1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
| 1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
| 1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
| 1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
| 1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
| 1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
| Find all providers in zip 97132 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675733 | Weingard Wellness LLC | Clinic/Center | 700 Deborah Rd Ste 270, Newberg, OR 97132-2270 | 2017-08-17 |
| 1942588785 | Lifestreams Chiropractic Center, LLC | Clinic/Center | 901 Brutscher St Ste 210, Newberg, OR 97132-6094 | 2011-07-27 |
| 1427561182 | Haven Stone Massage | Clinic/Center | 1530 E 1st St, Newberg, OR 97132-3237 | 2017-11-15 |
| 1023335403 | Providence Health & Services - Oregon | Clinic/Center | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2010-04-26 |
| 1598904393 | Providence Health & Services - Oregon | Clinic/Center | 1003 Providence Dr, Suite 310, Newberg, OR 97132-7524 | 2009-02-18 |
| 1134389034 | Matthew Frey, L.ac., LLC | Clinic/Center | 806 E 1st St, Newberg, OR 97132-2920 | 2008-06-13 |
| 1689794760 | Providence Health & Services - Oregon | Clinic/Center | 1001 Providence Dr, Newberg, OR 97132-7485 | 2007-03-30 |
| 1356411342 | Providence Health & Services - Oregon | Clinic/Center | 1003 Providence Dr, Suite 210, Newberg, OR 97132-7523 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715935 | J.w. Smith, D.c., LLC | Clinic/Center | 4747 S 6th St Ste 2, Klamath Falls, OR 97603-4993 | 2020-09-16 |
| 1427662204 | Edmund H. Torkelson Do, PC | Clinic/Center | 1960 Nw 167th Pl Ste 204, Beaverton, OR 97006-4804 | 2020-08-31 |
| 1134746589 | Redmond Veterinary Clinic PC | Clinic/Center | 1785 Nw 6th St, Redmond, OR 97756-1204 | 2020-07-01 |
| 1801413240 | Gfm LLC | Clinic/Center | 1235 Se Division St Ste 114, Portland, OR 97202-1042 | 2020-07-01 |
| 1184240277 | Evans & Company Healthcare PC | Clinic/Center | 2330 Morada Ln, Ashland, OR 97520-3641 | 2020-06-24 |
| 1427674324 | Northwest Pain Institute | Clinic/Center | 2005 Cedar St, Forest Grove, OR 97116-1701 | 2020-06-17 |
| 1275168759 | Metatron Health LLC | Clinic/Center | 6464 Sw Borland Rd Ste C3, Tualatin, OR 97062-8856 | 2020-03-05 |
| 1427680057 | Ortc, LLC | Clinic/Center | 750 Biddle Rd Ste 102, Medford, OR 97504-6178 | 2020-02-11 |
| 1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
| 1861038382 | Clackamas County | Clinic/Center | 2051 Kaen Rd Ste 210, Oregon City, OR 97045-4035 | 2019-11-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.