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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1003916354
Family Medicine in Hillsboro, OR

Active since September 25, 2006
5555 NE ELAM YOUNG PKWY, HILLSBORO, OR 97124(503) 216-1600 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, May 15, 2025, Jun 13, 2024 and 1 more (4 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1003916354), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Hillsboro, Oregon and active in the NPI registry since September 2006. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1003916354
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address5555 NE ELAM YOUNG PKWYHillsboro, OR 97124-6452
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 216-1600
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1003916354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
5555 NE ELAM YOUNG PKWY, Hillsboro, OR 97124
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Orenco

Other Identifiers 1

Medicaid227593OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINA SOPHIA HOLMES RN
Registered Nurse
5555 NE ELAM YOUNG PKWY
HILLSBORO, OR 97124
Washington County (503) 216-1600
BETH OTT RN
Registered Nurse (General Practice)
5555 NE ELAM YOUNG PKWY
HILLSBORO, OR 97124
Washington County (503) 216-1600
LINDSAY S MOORE PHD
Psychologist (Clinical)
5555 NE ELAM YOUNG PKWY
HILLSBORO, OR 97124
Washington County (503) 216-2600
WILMA J OBANDO PA-C
Physician Assistant
5555 NE ELAM YOUNG PKWY
HILLSBORO, OR 97124
Washington County (503) 216-1600
MRS. KRISTINE SAMUELSON MSPT
Physical Therapist (Orthopedic)
5555 NE ELAM YOUNG PKWY
HILLSBORO, OR 97124
Washington County (503) 216-1690
BRIANNE R DIFALCO FNP
Nurse Practitioner (Family)
5555 NE ELAM YOUNG PKWY
HILLSBORO, OR 97124
Washington County (503) 216-1600
TIRA ELIZABETH NESSET FNP
Nurse Practitioner (Family)
5555 NE ELAM YOUNG PKWY
HILLSBORO, OR 97124
Washington County (503) 216-1600
CLARICE CAMPOSANO CALOPIZ M.D.
Family Medicine
5555 NE ELAM YOUNG PKWY
HILLSBORO, OR 97124
Washington County (503) 216-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1003916354. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Providence Medical Group and Providence Medical Group Orenco.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 5555 NE Elam Young Pkwy, Hillsboro, OR 97124. The listed phone number is (503) 216-1600.

What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Providence Health Plan list Providence Health & Services - Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.