PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1790107050
Dermatology in Clackamas, 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 1790107050), doing business as Providence Medical Group, is a healthcare organization registered as a dermatology in Clackamas, Oregon and active in the NPI registry since January 2014. The organization lists Donald Wayne Anderson, Asst Sec Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 1790107050. It was assigned to this organization in the NPPES registry on January 6, 2014. The provider is doing business as Providence Medical Group and Providence Medical Group Glisan Dermatology at Sunnyside.
Where is Providence Health & Services - Oregon located?
Providence Health & Services - Oregon is located at 9290 SE Sunnybrook Blvd Suite 120, Clackamas, OR 97015. The listed phone number is (503) 215-9080.
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 with the weekly NPPES data releases published by CMS.
