PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1245567809
Internal Medicine in Happy Valley, OR

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 03, 2009

16180 SE SUNNYSIDE RD, SUITE 102, HAPPY VALLEY, OR 97015(503) 582-4975(503) 582-4999 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, Sep 4, 2024 and 1 more (4 updates tracked since 2021).

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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 1245567809), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Happy Valley, Oregon and active in the NPI registry since November 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1245567809

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address16180 SE SUNNYSIDE RD, SUITE 102Happy Valley, OR 97015-6302

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(503) 582-4975

Fax(503) 582-4999

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateNovember 3, 2009

Last NPPES UpdateJune 20, 20254 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1245567809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

16180 SE SUNNYSIDE RD, Happy Valley, OR 97015

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group Happy Valley Immediate Care

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

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 12

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

SARAH ANNE MARTIN

Physician Assistant

16180 SE SUNNYSIDE RD, #102
HAPPY VALLEY, OR 97015

Clackamas County (503) 582-4900

MHAIRI ANN MCFARLANE MD

Family Medicine

16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 97015

Clackamas County (503) 582-4900

ELIZABETH D. ORTH D.O.

Family Medicine

16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 97015

Clackamas County (503) 582-4900

DR. JOSH GEPNER MD

Family Medicine

16180 SE SUNNYSIDE RD, STE 102
HAPPY VALLEY, OR 97015

Clackamas County (503) 582-4900

ESTERA IANCIUC

Registered Nurse

16180 SE SUNNYSIDE RD
HAPPY VALLEY, OR 97015

Clackamas County (503) 582-4900

BARBARA DE LATORRE MD

Family Medicine

16180 SE SUNNYSIDE RD, STE 102
CLACKAMAS, OR 97015

Clackamas County (503) 513-8930

JEFFREY P PAVELKA DO

Family Medicine

16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 97015

Clackamas County (503) 582-4900

KIMBERLY K RODDA FNP-BC

Nurse Practitioner (Family)

16180 SE SUNNYSIDE RD, SUITE 102
HAPPY VALLEY, OR 97015

Clackamas County (503) 582-4900

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 1245567809. It was assigned to this organization in the NPPES registry on November 3, 2009. The provider is doing business as Providence Medical Group and Providence Medical Group Happy Valley Immediate Care.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 16180 SE Sunnyside Rd Suite 102, Happy Valley, OR 97015. The listed phone number is (503) 582-4975.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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.