PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1093815243
Internal Medicine in Tigard, 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 September 25, 2006

12442 SW SCHOLLS FERRY RD, SUITE 100, TIGARD, OR 97223(503) 216-9200(503) 216-9220 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Jul 26, 2024 and 2 more (5 updates tracked since 2016).

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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 1093815243), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Tigard, Oregon and active in the NPI registry since September 2006. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1093815243

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address12442 SW SCHOLLS FERRY RD, SUITE 100Tigard, OR 97223-3396

Mailing AddressPo Box 31001-4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 216-9200

Fax(503) 216-9220

Organization SubpartNo

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

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJune 20, 20255 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1093815243 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

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

Other Identifiers 1

Medicaid063680OR

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

Pediatrics

12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223

Washington County (503) 216-9140

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 1093815243. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Providence Medical Group and Providence Medical Group Scholls.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 12442 SW Scholls Ferry Rd Suite 100, Tigard, OR 97223. The listed phone number is (503) 216-9200.

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

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

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 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.