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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1023335403
Internal Medicine in Newberg, OR

Active since April 26, 2010
1003 PROVIDENCE DR, SUITE 325, NEWBERG, OR 97132(503) 962-1000(503) 216-0950 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2025, May 15, 2025, Jan 13, 2021 (3 updates tracked since 2021).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1023335403), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Newberg, Oregon and active in the NPI registry since April 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1023335403
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1003 PROVIDENCE DR, SUITE 325Newberg, OR 97132-7521
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 962-1000
Fax(503) 216-0950
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 26, 2010
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1023335403 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
1003 PROVIDENCE DR, Newberg, OR 97132
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Newberg Heart Clinic

Other Identifiers 1

Medicaid500622001OR

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.

GREGORY MICHAEL STROUP M.D.
Surgery
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Yamhill County (503) 537-5620
SEAN M STADTLANDER MD
Internal Medicine
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Yamhill County (503) 537-5900
DR. LIAN R SHAW MD
Internal Medicine (Cardiovascular Disease)
1003 PROVIDENCE DR, SUITE 325
NEWBERG, OR 97132
Yamhill County (503) 216-2188
ALLEN KRISTOPHER MOORE MD
Orthopaedic Surgery
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Yamhill County (503) 537-5620
DR. ISABEL CASILLAS ROSALES M.D.
Psychiatry & Neurology (Psychiatry)
1003 PROVIDENCE DR, SUITE 110
NEWBERG, OR 97132
Yamhill County (503) 537-5900
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine (Cardiovascular Disease)
1003 PROVIDENCE DR, SUITE 325
NEWBERG, OR 97132
Yamhill County (503) 216-0770
BENJAMIN LEE CALVERT MD
Family Medicine
1003 PROVIDENCE DR, SUITE 210
NEWBERG, OR 97132
Yamhill County (503) 537-5900
SANDRA LEE EMMONS MD
Obstetrics & Gynecology
1003 PROVIDENCE DR, STE 340
NEWBERG, OR 97132
Yamhill County (503) 538-2698

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 1023335403. It was assigned to this organization in the NPPES registry on April 26, 2010. The provider is doing business as Providence Medical Group and Providence Newberg Heart Clinic.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1003 Providence Dr Suite 325, Newberg, OR 97132. The listed phone number is (503) 962-1000.

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 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.