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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1184977233
Family Medicine in Canby, OR

Active since October 25, 2012
200 S HAZEL DELL WAY, CANBY, OR 97013(503) 263-9500(503) 263-1383 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 19, 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 1184977233), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Canby, Oregon and active in the NPI registry since October 2012. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1184977233
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address200 S HAZEL DELL WAYCanby, OR 97013-7829
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 263-9500
Fax(503) 263-1383
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 25, 2012
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1184977233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/CenterTaxonomy 261Q00000X
200 S HAZEL DELL WAY, Canby, OR 97013
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Canby Family Medicine

Other Identifiers 1

Medicaid500653371OR

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 11

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

KAREN GAYE HARRIS DO
Family Medicine
200 S HAZEL DELL WAY
CANBY, OR 97013
Clackamas County (503) 263-9500
MS. SANDRA LEIGH KOSIK PA
Physician Assistant
200 S HAZEL DELL WAY
CANBY, OR 97013
Clackamas County (503) 263-9500
ANTHONY A FERROGGIARO MD
Emergency Medicine
200 S HAZEL DELL WAY
CANBY, OR 97013
Clackamas County (503) 263-9500
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
200 S HAZEL DELL WAY
CANBY, OR 97013
Clackamas County (503) 263-9500
TARA J FOLEY PA-C
Physician Assistant
200 S HAZEL DELL WAY
CANBY, OR 97013
Clackamas County (503) 263-9500
ERIC TIMMONS FNP
Nurse Practitioner (Family)
200 S HAZEL DELL WAY
CANBY, OR 97013
Clackamas County (503) 263-9500
JULIA STEPHANIE RODRIGUEZ MD
Family Medicine
200 S HAZEL DELL WAY
CANBY, OR 97013
Clackamas County (503) 405-3700
CHRISTOPHER M BERBERIAN MD
Family Medicine
200 S HAZEL DELL WAY
CANBY, OR 97013
Clackamas County (503) 263-9500

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 1184977233. It was assigned to this organization in the NPPES registry on October 25, 2012. The provider is doing business as Providence Medical Group and Providence Medical Group Canby Family Medicine.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 200 S Hazel Dell Way, Canby, OR 97013. The listed phone number is (503) 263-9500.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.