PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1770723017
Dermatology in Tigard, OR
About Providence Health & Services - Oregon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1770723017), doing business as Pmg Bridgeport Dermatology, is a healthcare organization registered as a dermatology in Tigard, Oregon and active in the NPI registry since February 2009. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
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.
TIGARD, OR 97224
PORTLAND, OR 97224
TIGARD, OR 97224
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 1770723017. It was assigned to this organization in the NPPES registry on February 26, 2009. The provider is doing business as Pmg Bridgeport Dermatology and Providence Medical Group.
Where is Providence Health & Services - Oregon located?
Providence Health & Services - Oregon is located at 18040 SW Lower Boones Ferry Rd Suite 100, Tigard, OR 97224. The listed phone number is (503) 216-0700.
What is Providence Health & Services - Oregon's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for Providence Health & Services - Oregon was last updated on July 1, 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.