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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1629146121
Surgery in Newberg, OR

Active since December 01, 2006
310 VILLA RD, SUITE 104, NEWBERG, OR 97132(503) 537-1508 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2025, May 16, 2025 (2 updates tracked since 2025).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1629146121), doing business as Pmg Newberg Surgical Services, is a healthcare organization registered as a surgery in Newberg, Oregon and active in the NPI registry since December 2006. The organization lists Donald Wayne Anderson, Assistant Secreatry For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1629146121
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address310 VILLA RD, SUITE 104Newberg, OR 97132-1886
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 537-1508
Organization SubpartYes
Authorized OfficialDonald Wayne AndersonAssistant Secreatry For Enrollment · (425) 358-9786
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1629146121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X
310 VILLA RD, Newberg, OR 97132
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Other Names 2

Doing Business AsPmg Newberg Surgical Services
Doing Business AsProvidence Medical Group

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

Other Providers at the Same Location NPPES 4

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

CASANDRA NICOLE GLATZ M.S., SLP
Speech-Language Pathologist
310 VILLA RD
NEWBERG, OR 97132
Yamhill County (503) 537-3546
KYLA LARAWAY MS, OTD, OTR/L
Occupational Therapist
310 VILLA RD
NEWBERG, OR 97132
Yamhill County (503) 537-3546
DR. HEATHER MARIE LARSON AU.D.
Audiologist
310 VILLA RD, SUITE 104
NEWBERG, OR 97132
Yamhill County (503) 537-3546
MS. DEBORAH LEE TREVVETT SLP
Speech-Language Pathologist
310 VILLA RD, SUITE 104
NEWBERG, OR 97132
Yamhill County (503) 537-1867

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 1629146121. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Pmg Newberg Surgical Services and Providence Medical Group.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 310 Villa Rd Suite 104, Newberg, OR 97132. The listed phone number is (503) 537-1508.

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

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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.