PROVIDENCE HEALTH & SERVICES
NPI 1154539203
Internal Medicine in Oregon City, OR

Active since May 21, 2007
1510 DIVISION ST STE 200, OREGON CITY, OR 97045(503) 650-6880(503) 650-6888 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2025, May 5, 2025 (2 updates tracked since 2025).

About Providence Health & Services NPPES

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

PROVIDENCE HEALTH & SERVICES (NPI 1154539203), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Oregon City, Oregon and active in the NPI registry since May 2007. The organization lists Donald Wayne Anderson, Asst Sec Enrollment, as its authorized official.

NPPES Registry Identity

NPI1154539203
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES
Location Address1510 DIVISION ST STE 200Oregon City, OR 97045-1599
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644
Fax(503) 650-6888
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Sec Enrollment · (425) 358-9786
Enumeration DateMay 21, 2007
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
NPI 1154539203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1510 DIVISION ST STE 200, Oregon City, OR 97045

Other Names 2

Doing Business AsProvidence Medical Group
Other NamePmg/oregon City

Other Identifiers 1

Medicaid067983OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Family Medicine
1510 DIVISION ST STE 200
OREGON CITY, OR 97045
Internal Medicine (Cardiovascular Disease)
1510 DIVISION ST STE 200
OREGON CITY, OR 97045
Internal Medicine (Cardiovascular Disease)
1510 DIVISION ST STE 200
OREGON CITY, OR 97045
Physician Assistant
1510 DIVISION ST STE 200
OREGON CITY, OR 97045
Physician Assistant
1510 DIVISION ST STE 200
OREGON CITY, OR 97045
Physician Assistant
1510 DIVISION ST STE 200
OREGON CITY, OR 97045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154539203, enumerated as an "organization" on May 21, 2007.

The provider is located at 1510 DIVISION ST STE 200 OREGON CITY, OR 97045 and the phone number is (503) 650-6880.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.