PROVIDENCE HEALTH & SERVICES OREGON
NPI 1245330380
Family Medicine in Clackamas, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1245330380. 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 Sunnyside.

Q: What is Providence Health & Services Oregon's specialty?

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

Active since September 25, 2006

9290 SE SUNNYBROOK BLVD, SUITE 120, CLACKAMAS, OR 97015(503) 215-2110(503) 215-2115 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, May 16, 2025, Jul 9, 2018 (3 updates tracked since 2018).

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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 1245330380), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Clackamas, Oregon and active in the NPI registry since September 2006. The organization lists Donald Wayne Anderson, Asst Corp Secretary For Enrollments, as its authorized official.

NPPES Registry Identity

NPI1245330380

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address9290 SE SUNNYBROOK BLVD, SUITE 120Clackamas, OR 97015

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

Phone(503) 215-2110

Fax(503) 215-2115

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAsst Corp Secretary For Enrollments · (425) 358-9786

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1245330380 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

9290 SE SUNNYBROOK BLVD, Clackamas, OR 97015

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group Sunnyside

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.

ALICE C NAYAK MD

Internal Medicine

9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

DR. MICHELLE SHEPHERD COMBS PYS.D.

Psychologist (Clinical)

9290 SE SUNNYBROOK BLVD
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

NAVIN N NAYAK MD

Internal Medicine

9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

MARY KATHRYN BROWN MD

Pediatrics

9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015

Clackamas County (503) 659-1694

WALTER F GEORGE MD

Internal Medicine

9290 SE SUNNYBROOK BLVD, SUITE 210
CLACKAMAS, OR 97015

Clackamas County (503) 216-7960

MINDI L ROBINSON MD

Family Medicine

9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

MAGDALENA MARTA KASPROWSKA M.D.

Internal Medicine

9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015

Clackamas County (503) 215-2110

MRS. OLIVIA MARIE GORDON M.A. MFT

Marriage & Family Therapist

9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015

Clackamas County (503) 659-1694

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 1245330380. 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 Sunnyside.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 9290 SE Sunnybrook Blvd Suite 120, Clackamas, OR 97015. The listed phone number is (503) 215-2110.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.