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PROVIDENCE HEALTH & SERVICES OREGON
NPI 1457689598
Clinic/Center - Occupational Medicine in Clackamas, OR

Active since December 01, 2009
9290 SE SUNNYBROOK BLVD, SUITE 210, CLACKAMAS, OR 97015(503) 216-7960(503) 216-2823 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2025, Jul 9, 2018, Jan 20, 2017 (3 updates tracked since 2017).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1457689598), doing business as Prov Health Sys-or Shared-svs Div, is a healthcare organization registered as an occupational medicine in Clackamas, Oregon and active in the NPI registry since December 2009. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1457689598
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address9290 SE SUNNYBROOK BLVD, SUITE 210Clackamas, OR 97015
Mailing AddressPo Box 4388Portland, OR 97208-4388 · (503) 216-7960 · Fax (503) 215-6387
Phone(503) 216-7960
Fax(503) 216-2823
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secreatry For Enrollment · (425) 358-9786
Enumeration DateDecember 1, 2009
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1457689598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
9290 SE SUNNYBROOK BLVD, Clackamas, OR 97015
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Other Names 2

Doing Business AsProv Health Sys-or Shared-svs Div
Other NameProvidence Occupational Medicine-clackamas

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.

ALICE C NAYAK MD
Internal Medicine
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
DR. MICHELLE SHEPHERD COMBS PYS.D.
Psychologist (Clinical)
9290 SE SUNNYBROOK BLVD
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
NAVIN N NAYAK MD
Internal Medicine
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
MARY KATHRYN BROWN MD
Pediatrics
9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015
Clackamas County (503) 659-1694
WALTER F GEORGE MD
Internal Medicine
9290 SE SUNNYBROOK BLVD, SUITE 210
CLACKAMAS, OR 97015
Clackamas County (503) 216-7960
MINDI L ROBINSON MD
Family Medicine
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
MAGDALENA MARTA KASPROWSKA M.D.
Internal Medicine
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Clackamas County (503) 215-2110
MRS. OLIVIA MARIE GORDON M.A. MFT
Marriage & Family Therapist
9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015
Clackamas County (503) 659-1694

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 1457689598. It was assigned to this organization in the NPPES registry on December 1, 2009. The provider is doing business as Prov Health Sys-OR Shared-Svs Div. The provider is also known as Providence Occupational Medicine-Clackamas.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 9290 SE Sunnybrook Blvd Suite 210, Clackamas, OR 97015. The listed phone number is (503) 216-7960.

What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Oregon was last updated on July 8, 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.