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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1255641064
Family Medicine in Molalla, OR

Active since October 14, 2010
110 CENTER ST, MOLALLA, OR 97038(034) 053-7777 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2025, May 16, 2025, Oct 2, 2024 and 1 more (4 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 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

NPI1255641064
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address110 CENTER STMolalla, OR 97038-0189
Mailing AddressPo Box 31001-4180Pasadena, CA 91110-4180
Phone(034) 053-7777
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateOctober 14, 2010
Last NPPES UpdateJune 20, 20254 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1255641064 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
110 CENTER ST, Molalla, OR 97038
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Other Names 2

Doing Business AsPmg Molalla
Doing Business AsProvidence Medical Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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, 2 practice at this address and 12 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
Michaela Bowles, FNP-BC
Nurse Practitioner
NPI 1841077211
110 CENTER AVE
Molalla, OR 97038
(503) 405-3777
✔ PECOS✔ Accepts MedicareSame address
Mich Gehrig, DO
Family Practice
NPI 1780211680
110 CENTER AVE
Molalla, OR 97038
(503) 405-3777
✔ PECOS✔ Accepts MedicareSame address
Kathleen Thurman, FNP
Nurse Practitioner
NPI 1821242330
110 CENTER AVE
Molalla, OR 97038
(503) 529-2273
✔ PECOS✔ Accepts Medicare4.8 mi
Amelie Wegner, MD
Family Practice
NPI 1285067132
110 CENTER AVE
Molalla, OR 97038
(503) 829-1400
✔ PECOS✔ Accepts Medicare4.8 mi
Julia Rodriguez, MD
Family Practice
NPI 1598340010
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 405-3700
✔ PECOS✔ Accepts Medicare9.6 mi
Christopher Berberian, MD
Family Practice
NPI 1710185087
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 263-9500
✔ PECOS✔ Accepts Medicare9.6 mi
April Clayton, PSYD
Clinical Psychologist
NPI 1134602758
200 S HAZEL DELL WAY STE 205
Canby, OR 97013
(503) 405-3700
✔ PECOS✔ Accepts Medicare9.6 mi
Katherine Cobb, MD, MPH
Family Practice
NPI 1851955785
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 405-3700
✔ PECOS✔ Accepts Medicare9.6 mi
Anthony Ferroggiaro, MD
Emergency Medicine
NPI 1245254606
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 263-9500
✔ PECOS✔ Accepts Medicare9.6 mi
Kelsey Fyfe, FNP
Nurse Practitioner
NPI 1760090583
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 263-9500
✔ PECOS✔ Accepts Medicare9.6 mi
Eric Timmons, FNP
Nurse Practitioner
NPI 1588262687
200 S HAZEL DELL WAY
Canby, OR 97013
(503) 263-9500
✔ PECOS✔ Accepts Medicare9.6 mi
Sandra Lohstroh
Nurse Practitioner
NPI 1770094682
178 SW 2ND AVE
Canby, OR 97013
(503) 416-4547
✔ PECOS✔ Accepts Medicare9.7 mi
Angela Vitek, NURSE PRACTITIONER
Nurse Practitioner
NPI 1841797990
1475 MOUNT HOOD AVE
Woodburn, OR 97071
(971) 983-5360
✔ PECOS✔ Accepts Medicare13 mi
Heather Whetstone, M.D.
Family Practice
NPI 1770788176
1425 BEAVERCREEK RD
Oregon City, OR 97045
(503) 655-8471
✔ PECOS✔ Accepts Medicare13 mi
Cristina Zadroga, PHD
Clinical Psychologist
NPI 1740438365
29345 SW TOWN CENTER LOOP E STE 110
Wilsonville, OR 97070
(503) 582-2100
✔ PECOS✔ Accepts Medicare14 mi
Robert Eller, D.O.
Internal Medicine
NPI 1770556201
1899 BLANKENSHIP RD
West Linn, OR 97068
(503) 513-3350
✔ PECOS✔ Accepts Medicare14 mi
Aaron Chan, MD
Hospitalist
NPI 1750607594
1500 DIVISION ST
Oregon City, OR 97045
(503) 650-6270
✔ PECOS✔ Accepts Medicare14 mi
Kenneth Ensroth, MD
Psychiatry
NPI 1770599185
1500 DIVISION ST CHILD CLINIC
Oregon City, OR 97045
(503) 722-3700
✔ PECOS✔ Accepts Medicare14 mi
Poorni Manohar, MD
Hematology
NPI 1912343807
1500 DIVISION ST STE 220
Oregon City, OR 97045
(503) 513-1900
✔ PECOS✔ Accepts Medicare14 mi
Shane Rogosin, MD
Medical Oncology
NPI 1447451794
1500 DIVISION ST STE 220
Oregon City, OR 97045
(503) 513-1900
✔ PECOS✔ Accepts Medicare14 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 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.

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, 2 practice at this address and 12 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.