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

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: July 26, 2026.

Record update history: Jun 20, 2025, May 15, 2025, Jul 15, 2020 (3 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 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
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

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Sherwood Immediate Care

Other Identifiers 1

Medicaid500611226OR

Other Providers at the Same Location NPPES 20

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

Family Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Physical Therapist
16770 SW EDY RD
SHERWOOD, OR 97140
Internal Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Clinic/Center (Podiatric)
16770 SW EDY RD, SUITE 216
SHERWOOD, OR 97140
Nurse Practitioner
16770 SW EDY RD
SHERWOOD, OR 97140
Family Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Nurse Practitioner (Family)
16770 SW EDY RD
SHERWOOD, OR 97140
Pediatrics
16770 SW EDY RD
SHERWOOD, OR 97140

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.

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 with the weekly NPPES data releases published by CMS.