PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1568793313
Family Medicine in Lake Oswego, OR

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 19, 2010

17550 PROVOST ST STE 201, LAKE OSWEGO, OR 97034(503) 513-3350(503) 513-3355 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 23, 2026, Jun 30, 2025, May 16, 2025 and 3 more (6 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 1568793313), doing business as Providence Medical Group, is a healthcare organization registered as a family medicine in Lake Oswego, Oregon and active in the NPI registry since January 2010. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1568793313

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address17550 PROVOST ST STE 201Lake Oswego, OR 97034-5199

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (425) 358-9786 · Fax (503) 215-6644

Phone(503) 513-3350

Fax(503) 513-3355

Organization SubpartNo

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

Enumeration DateJanuary 19, 2010

Last NPPES UpdateMarch 23, 20266 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1568793313 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

17550 PROVOST ST STE 201, Lake Oswego, OR 97034

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Other Names 3

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Medical Group West Linn

Doing Business AsProvidence Medical Group At Marys Woods

Other Identifiers 1

Medicaid500672536OR

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 10

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

AMANDA LEIGH BARCLAY PA-C

Physician Assistant