PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1255641064
Family Medicine in Molalla, OR
About Providence Health & Services - Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1255641064), doing business as Pmg Molalla, is a healthcare organization registered as a family medicine in Molalla, Oregon and active in the NPI registry since October 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Accepted Insurance
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1255641064. It was assigned to this organization in the NPPES registry on October 14, 2010. The provider is doing business as Pmg Molalla and Providence Medical Group.
Where is Providence Health & Services - Oregon located?
Providence Health & Services - Oregon is located at 110 Center St, Molalla, OR 97038. The listed phone number is (034) 053-7777.
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.
# Providence Health & Services - Oregon · NPI 1255641064
Family Medicine organization in Molalla, Oregon. Organization record, active in the CMS NPPES registry since October 14, 2010.
## Identity
- **NPI:** 1255641064 (Entity type: Organization)
- **Enumerated:** October 14, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** PMG MOLALLA (Doing Business As); PROVIDENCE MEDICAL GROUP (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY ENROLLMENTS
## Practice location
- **Address:** 110 CENTER ST, Molalla, OR 97038-0189
- **Phone:** (034) 053-7777
## Record status
- **NPPES last updated:** June 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255641064) · Data from the CMS NPPES public registry.