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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1093135535
Pediatrics in Tigard, OR

Active since April 23, 2014
12442 SW SCHOLLS FERRY RD, SUITE 205, TIGARD, OR 97223(503) 216-9140 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 16, 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 1093135535), doing business as Providence Medical Group, is a healthcare organization registered as a pediatrics in Tigard, Oregon and active in the NPI registry since April 2014. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1093135535
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address12442 SW SCHOLLS FERRY RD, SUITE 205Tigard, OR 97223-0804
Mailing AddressPo Box 31001-4180Pasadena, CA 91110-4180
Phone(503) 216-9140
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 23, 2014
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1093135535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/CenterTaxonomy 261Q00000X
12442 SW SCHOLLS FERRY RD, Tigard, OR 97223
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Scholls Pediatrics

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 20

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

EVAGELIA BAROS DO
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
POOMBAVAI O NAGAPPAN MD
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
DR. BENJAMIN HIN-MENG IP MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
PORTLAND, OR 97223
Washington County (503) 215-9900
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
DOUGLAS R NIEHUS MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
MRS. KATHRYN ANDERSON CARR P.T.
Physical Therapist
12442 SW SCHOLLS FERRY RD, SUITE 202
TIGARD, OR 97223
Washington County (503) 216-9280
DR. SANDRA ANA ANTONOVIC M.D.
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223
Washington County (503) 216-9140
DR. JEFFREY P WEEKS M.D.
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 215-9900

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 1093135535. It was assigned to this organization in the NPPES registry on April 23, 2014. The provider is doing business as Providence Medical Group and Providence Medical Group Scholls Pediatrics.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 12442 SW Scholls Ferry Rd Suite 205, Tigard, OR 97223. The listed phone number is (503) 216-9140.

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

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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 with the weekly NPPES data releases published by CMS.