PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1356411342
Clinic/Center in Newberg, OR

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since November 08, 2006

1000 N PROVIDENCE DR STE 120, NEWBERG, OR 97132(503) 537-5700 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Jul 9, 2024, 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 1356411342), doing business as Providence Medical Group, is a healthcare organization registered as a clinic/center in Newberg, Oregon and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Newberg and lists Donald Wayne Anderson, Asst Sec For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1356411342

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address1000 N PROVIDENCE DR STE 120Newberg, OR 97132-7582

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

Phone(503) 537-5700

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAsst Sec For Enrollment · (425) 358-9786

Enumeration DateNovember 8, 2006

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1356411342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedInternal MedicineTaxonomy 207R00000X

1000 N PROVIDENCE DR STE 120, Newberg, OR 97132

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group Newberg

Secondary Practice Location 1

Location 11003 Providence Dr, Suite 210Newberg, OR 97132-7523 · Phone (503) 537-5900

Other Identifiers 1

Medicaid278387OR

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 11

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

TYLER R WALKER MD

Family Medicine