PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1013143478
Internal Medicine in Sherwood, OR

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 29, 2009

16770 SW EDY RD, SUITE 102, SHERWOOD, OR 97140(503) 216-9600 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2025, May 15, 2025, Jul 15, 2020 (3 updates tracked since 2020).

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About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1013143478), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Sherwood, Oregon and active in the NPI registry since May 2009. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1013143478

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address16770 SW EDY RD, SUITE 102Sherwood, OR 97140-9679

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(503) 216-9600

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateMay 29, 2009

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1013143478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedClinic/CenterTaxonomy 261Q00000X

16770 SW EDY RD, Sherwood, OR 97140

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group Sherwood Immediate Care

Other Identifiers 1

Medicaid500611226OR

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,498

Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 210 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 56

Internal Medicine250

Family Practice212

Nurse Practitioner210

Hospitalist96

Neurology57

Obstetrics/Gynecology57

Physical Therapist in Private Practice54

Clinical Psychologist53

48 other specialties509

Nearest to this location (20)

See all 1,498

Christian Calaguas, RD

Registered Dietitian or Nutrition Professional

NPI 1184710519

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ Accepts MedicareSame address

Peter Dejong, MD

Family Practice

NPI 1750887493

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Richard Delavan, FNP

Nurse Practitioner

NPI 1174161319

16770 SW EDY RD STE 102A
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Mark Dunn, MD

Family Practice

NPI 1841496023

16770 SW EDY ROAD
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Amy Gerhard, MD

Family Practice

NPI 1326233065

16770 SW EDY RD
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Christopher Green, FNP

Nurse Practitioner

NPI 1215665229

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Derrick Hall, MD

Family Practice

NPI 1497104715

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Wendy Laborie, M.D.

Internal Medicine

NPI 1861599664

16770 SW EDY RD
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Ian Lentz, DO

Emergency Medicine

NPI 1467806893

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Bridget Martin, MD

Family Practice

NPI 1518906759

16770 SW EDY RD
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Patricia Millan, M.D.

Family Practice

NPI 1285854844

16770 SW EDY RD SUITE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Joshua Morris, PH.D.

Clinical Psychologist

NPI 1093327140

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Lindsay Sparks, M.D.

Family Practice

NPI 1336405042

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Elena Styles, DO

Family Practice

NPI 1912394743

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Breanna Thompson, DO

Family Practice

NPI 1710129473

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Melissa Weismiller, R.D.

Registered Dietitian or Nutrition Professional

NPI 1639290521

16770 SW EDY RD STE 102
Sherwood, OR 97140

(503) 216-9600

✔ Accepts MedicareSame address

Cheryl Pierson, M.D.

Family Practice

NPI 1063520609

16770 SW EDY RD SUITE 102
Sherwood, OR 97140

(503) 216-9600

✔ PECOS✔ Accepts MedicareSame address

Thomas Wimmer, MD

Internal Medicine

NPI 1083725097

19185 SW 90TH AVE
Tualatin, OR 97062

(503) 813-2000

✔ PECOS✔ Accepts Medicare3.9 mi

Sarah Barco Foster, CNM

Certified Nurse Midwife (CNM)

NPI 1467895102

12345 SW HORIZON BLVD STE 57
Beaverton, OR 97007

(503) 216-8820

✔ PECOS✔ Accepts Medicare4.5 mi

Heather Abe, DO

Obstetrics/Gynecology

NPI 1265745947

12345 SW HORIZON BLVD STE 57
Beaverton, OR 97007

(503) 216-8820

✔ PECOS✔ Accepts Medicare4.5 mi

See all 1,498 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1013143478. It was assigned to this organization in the NPPES registry on May 29, 2009. The provider is doing business as Providence Medical Group and Providence Medical Group Sherwood Immediate Care.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 16770 SW Edy Rd Suite 102, Sherwood, OR 97140. The listed phone number is (503) 216-9600.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,498 clinicians in 56 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (250), Family Practice (212) and Nurse Practitioner (210). Of these, 17 practice at this address and 210 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16 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.