1. Home
  2. Directory
  3. Oregon
  4. Lake Oswego
  5. General Practice
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES OREGON
NPI 1023488343
General Practice in Lake Oswego, OR

Active since September 29, 2015
4823 MEADOWS RD, LAKE OSWEGO, OR 97035(503) 216-1580 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, Oct 5, 2021, Nov 22, 2017 and 1 more (4 updates tracked since 2015).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1023488343), doing business as Providence Medical Group, is a healthcare organization registered as a general practice in Lake Oswego, Oregon and active in the NPI registry since September 2015. The organization lists Donald Wayne Anderson, Asst Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1023488343
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address4823 MEADOWS RDLake Oswego, OR 97035-2529
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 216-1580
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Secretary For Enrollment · (425) 525-5392
Enumeration DateSeptember 29, 2015
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1023488343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
4823 MEADOWS RD, Lake Oswego, OR 97035
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Medical Group

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 1023488343. It was assigned to this organization in the NPPES registry on September 29, 2015. The provider is doing business as Providence Medical Group.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 4823 Meadows Rd, Lake Oswego, OR 97035. The listed phone number is (503) 216-1580.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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.