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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: August 02, 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
Phone(503) 582-2100
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
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Wilsonville

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 7

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

DR. ELVA ANGELIQUE VAN DEVENDER PHD, PHARMD, BCPS
Pharmacist (Pharmacotherapy)
29345 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070
Clackamas County (541) 971-3137
OREGON SPORTS MEDICINE ASSOCIATES
Orthopaedic Surgery
29345 SW TOWN CENTER LOOP E, SUITE 211
WILSONVILLE, OR 97070
Clackamas County (503) 692-8700
ARMASABILLE NAVALON ERMITA MD
Family Medicine
29345 SW TOWN CENTER LOOP E, SUITE 110
WILSONVILLE, OR 97070
Clackamas County (503) 582-2100
POMPY Z GOSWAMI MD
Family Medicine
29345 SW TOWN CENTER LOOP E, SUITE 110
WILSONVILLE, OR 97070
Clackamas County (503) 582-2100
DR. TERRY L DAVIS MD
Family Medicine
29345 SW TOWN CENTER LOOP E, SUITE 110
WILSONVILLE, OR 97070
Clackamas County (503) 582-2100
MS. TAMARA ANN LUKES LCSW
Social Worker (Clinical)
29345 SW TOWN CENTER LOOP E
WILSONVILLE, OR 97070
Clackamas County (971) 373-1846
HEIDI SUSANNE DYER PA-C
Physician Assistant
29345 SW TOWN CENTER LOOP E, SUITE 110
WILSONVILLE, OR 97070
Clackamas County (503) 582-2100

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.

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.