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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1396836276
Family Medicine in Tigard, OR

Active since September 27, 2006
12442 SW SCHOLLS FERRY RD, SUITE 100, TIGARD, OR 97223(503) 216-9900(503) 216-9266 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2025, May 16, 2025, Jul 11, 2024 (3 updates tracked since 2024).

About Providence Health & Services - Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1396836276), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Tigard, Oregon and active in the NPI registry since September 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1396836276
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address12442 SW SCHOLLS FERRY RD, SUITE 100Tigard, OR 97223-0803
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 216-9900
Fax(503) 216-9266
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1396836276 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
12442 SW SCHOLLS FERRY RD, Tigard, OR 97223
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Scholls Immediate Care

Other Identifiers 1

Medicaid063680OR

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 20

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

EVAGELIA BAROS DO
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
POOMBAVAI O NAGAPPAN MD
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 106
TIGARD, OR 97223
Washington County (503) 216-9200
DR. BENJAMIN HIN-MENG IP MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
PORTLAND, OR 97223
Washington County (503) 215-9900
PROVIDENCE HEALTH & SERVICES - OREGON
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223
Washington County (503) 216-9140
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
DOUGLAS R NIEHUS MD
Family Medicine
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 97223
Washington County (503) 216-9200
MRS. KATHRYN ANDERSON CARR P.T.
Physical Therapist
12442 SW SCHOLLS FERRY RD, SUITE 202
TIGARD, OR 97223
Washington County (503) 216-9280
DR. SANDRA ANA ANTONOVIC M.D.
Pediatrics
12442 SW SCHOLLS FERRY RD, SUITE 205
TIGARD, OR 97223
Washington County (503) 216-9140

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 1396836276. It was assigned to this organization in the NPPES registry on September 27, 2006. The provider is doing business as Providence Medical Group and Providence Medical Group Scholls Immediate Care.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 12442 SW Scholls Ferry Rd Suite 100, Tigard, OR 97223. The listed phone number is (503) 216-9900.

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 July 4, 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.