PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1245489087
Family Medicine in Wilsonville, OR

Active since September 17, 2008
29345 SW TOWN CENTER LOOP E, SUITE 110, WILSONVILLE, OR 97070(503) 582-2100 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Apr 16, 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 1245489087), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Wilsonville, Oregon and active in the NPI registry since September 2008. The organization lists Donald Wayne Anderson, Asst Sec For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1245489087
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address29345 SW TOWN CENTER LOOP E, SUITE 110Wilsonville, OR 97070-8486
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Sec For Enrollment · (425) 358-9786
Enumeration DateSeptember 17, 2008
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1245489087 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
29345 SW TOWN CENTER LOOP E, Wilsonville, OR 97070

Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Wilsonville

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services - Oregon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,498

Medicare enrollment records show 1,498 clinicians reassign Medicare billing to Providence Health & Services - Oregon, which bills Medicare for the services they deliver. Of these, 214 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 56

Internal Medicine250
Family Practice212
Nurse Practitioner210
Hospitalist96
Neurology57
Obstetrics/Gynecology57
Physical Therapist in Private Practice54
Clinical Psychologist53
48 other specialties509

Nearest to this location (20)

See all 1,498
Family Practice
NPI 1629365382
29345 SW TOWN CENTER LOOP E SUITE 110
Wilsonville, OR 97070
(503) 582-2100
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1811564057
29345 SW TOWN CENTER LOOP E STE 110
Wilsonville, OR 97070
(503) 582-2100
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1215162318
29345 SW TOWN CENTER LOOP E STE 110
Wilsonville, OR 97070
(503) 582-2100
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1528743770
29345 SW TOWN CENTER LOOP E STE 110
Wilsonville, OR 97070
(503) 582-2100
✔ PECOS0.4 mi
Clinical Psychologist
NPI 1740438365
29345 SW TOWN CENTER LOOP E STE 110
Wilsonville, OR 97070
(503) 582-2100
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1770094682
178 SW 2ND AVE
Canby, OR 97013
(503) 416-4547
✔ PECOS✔ Accepts Medicare4.9 mi
Neurology
NPI 1205283462
19260 SW 65TH AVE STE 280
Tualatin, OR 97062
(503) 413-6166
✔ PECOS✔ Accepts Medicare5.1 mi
Internal Medicine
NPI 1083725097
19185 SW 90TH AVE
Tualatin, OR 97062
(503) 813-2000
✔ PECOS✔ Accepts Medicare5.1 mi
Family Practice
NPI 1710185087
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 263-9500
✔ PECOS✔ Accepts Medicare5.3 mi
Clinical Psychologist
NPI 1134602758
200 S HAZEL DELL WAY STE 205
Canby, OR 97013
(503) 405-3700
✔ PECOS✔ Accepts Medicare5.3 mi
Emergency Medicine
NPI 1245254606
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 263-9500
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1760090583
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 263-9500
✔ PECOS✔ Accepts Medicare5.3 mi
Registered Dietitian or Nutrition Professional
NPI 1184710519
16770 SW EDY RD STE 102
Sherwood, OR 97140
(503) 216-9600
✔ Accepts Medicare5.7 mi
Dermatology
NPI 1174715924
18040 SW LOWER BOONES FERRY RD STE 201
Tigard, OR 97224
(503) 216-0500
✔ PECOS✔ Accepts Medicare5.8 mi
Psychiatry
NPI 1306044524
8 DOVER WAY
Lake Oswego, OR 97034
(319) 512-9782
✔ PECOS✔ Accepts Medicare6.4 mi
Podiatry
NPI 1073609640
16316 BRYANT RD
Lake Oswego, OR 97035
(503) 699-8220
✔ PECOS✔ Accepts Medicare7.3 mi
Physical Therapist in Private Practice
NPI 1336952480
4004 KRUSE WAY PL STE 300
Lake Oswego, OR 97035
(503) 216-1712
✔ Accepts Medicare8.0 mi
Hematology/Oncology
NPI 1619031838
1000 N PROVIDENCE DR STE 310
Newberg, OR 97132
(503) 537-6040
✔ PECOS✔ Accepts Medicare8.0 mi
Medical Oncology
NPI 1508086067
1003 PROVIDENCE DR STE 310
Newberg, OR 97132
(503) 537-6040
✔ PECOS✔ Accepts Medicare8.1 mi
Cardiovascular Disease (Cardiology)
NPI 1154379576
1003 PROVIDENCE DR SUITE 325
Newberg, OR 97132
(503) 216-2188
✔ PECOS✔ Accepts Medicare8.1 mi
See all 1,498 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1245489087. It was assigned to this organization in the NPPES registry on September 17, 2008. The provider is doing business as Providence Medical Group and Providence Medical Group Wilsonville.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 29345 SW Town Center Loop E Suite 110, Wilsonville, OR 97070. The listed phone number is (503) 582-2100.

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

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

Is Providence Health & Services - Oregon enrolled in Medicare?

Yes. Providence Health & Services - Oregon is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services - Oregon?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,498 clinicians in 56 Medicare specialties reassign their Medicare billing to Providence Health & Services - Oregon. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (250), Family Practice (212) and Nurse Practitioner (210). Of these, 214 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16 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.