PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1730411034
Surgery in Oregon City, OR

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

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

Active since February 11, 2010

1510 DIVISION ST, SUITE 210, OREGON CITY, OR 97045(503) 723-6525(503) 723-6508 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, Sep 4, 2024, Aug 5, 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 1730411034), doing business as Providence Medical Group, is a healthcare organization registered as a surgery in Oregon City, Oregon and active in the NPI registry since February 2010. The organization lists Donald W Anderson, Asst Sec Enroll, as its authorized official.

NPPES Registry Identity

NPI1730411034

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address1510 DIVISION ST, SUITE 210Oregon City, OR 97045-1599

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494 · Fax (503) 215-6644

Phone(503) 723-6525

Fax(503) 723-6508

Organization SubpartNo

Authorized OfficialDonald W AndersonAsst Sec Enroll · (425) 525-5392

Enumeration DateFebruary 11, 2010

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1730411034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X

Also ListedClinic/CenterTaxonomy 261Q00000X

1510 DIVISION ST, Oregon City, OR 97045

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Surgery Clinic Southeast

Other Identifiers 1

Medicaid500620076OR

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 16

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

DR. JENNIFER EILEEN SHEPARD MD

Pediatrics

1510 DIVISION ST, SUITE 280
OREGON CITY, OR 97045

Clackamas County (503) 905-3400

CLACKAMAS SURGICAL ASSOCIATES, INC.

Surgery (Vascular Surgery)

1510 DIVISION ST, SUITE 210
OREGON CITY, OR 97045

Clackamas County (503) 655-6313

DR. WILLIAM ROMNEY BURKE MD

Urology

1510 DIVISION ST, SUITE 10
OREGON CITY, OR 97045

Clackamas County (503) 656-2606

PROVIDENCE HEALTH & SERVICES - OREGON

Clinic/Center

1510 DIVISION ST, SUITE 100
OREGON CITY, OR 97045

Clackamas County (503) 742-6770

PATRICIA EILEEN CAIN DPM

Podiatrist (Foot Surgery)

1510 DIVISION ST, SUITE 80
OREGON CITY, OR 97045

Clackamas County (503) 655-0775

OREGON CITY FOOT CLINIC, PC

Clinic/Center (Podiatric)

1510 DIVISION ST, SUITE 80
OREGON CITY, OR 97045

Clackamas County (503) 655-0775

HEATHER MIRENDA

Social Worker

1510 DIVISION ST, 90
OREGON CITY, OR 97045

Clackamas County (503) 557-1373

WILLAMETTE FALLS PEDIATRIC GROUP

Pediatrics

1510 DIVISION ST, SUITE 280
OREGON CITY, OR 97045

Clackamas County (503) 905-3400

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 1730411034. It was assigned to this organization in the NPPES registry on February 11, 2010. The provider is doing business as Providence Medical Group and Providence Surgery Clinic Southeast.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1510 Division St Suite 210, Oregon City, OR 97045. The listed phone number is (503) 723-6525.

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 June 30, 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.