PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1437442795
Internal Medicine - Cardiovascular Disease in Gresham, OR

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since May 19, 2011

440 NW DIVISION ST, GRESHAM, OR 97030(503) 962-1000(503) 963-3005 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, Sep 17, 2020 (3 updates tracked since 2020).

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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 1437442795), doing business as Providence Medical Group, is a healthcare organization registered as a cardiovascular disease in Gresham, Oregon and active in the NPI registry since May 2011. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1437442795

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address440 NW DIVISION STGresham, OR 97030-5506

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

Phone(503) 962-1000

Fax(503) 963-3005

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateMay 19, 2011

Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1437442795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedClinic/CenterTaxonomy 261Q00000X

440 NW DIVISION ST, Gresham, OR 97030

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Heart Clinic Gresham

Other Identifiers 1

Medicaid500639264OR

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.

PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine