PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1245567817
Internal Medicine in Canby, 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

200 S HAZEL DELL WAY, CANBY, OR 97013(503) 263-9500 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Apr 16, 2021 (3 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 1245567817), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Canby, 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

NPI1245567817

Entity TypeOrganization

Primary Taxonomy207R00000X

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

Organization SubpartNo

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

Enumeration DateNovember 3, 2009

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1245567817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 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 Immediate Care

Other Identifiers 1

Medicaid500617241OR

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