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PROVIDENCE HEALTH & SERVICES OREGON
NPI 1821224957
Internal Medicine in Tigard, OR

Active since June 03, 2009
18040 SW LOWER BOONES FERRY RD, SUITE 100, TIGARD, OR 97224(503) 216-0700 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 4, 2025, Jul 9, 2018 (2 updates tracked since 2018).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1821224957), doing business as Pmg Bridgeport Immediate Care, is a healthcare organization registered as an internal medicine in Tigard, Oregon and active in the NPI registry since June 2009. The organization lists Donald Wayne Anderson, Asst Secretary For Enrollments, as its authorized official.

NPPES Registry Identity

NPI1821224957
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address18040 SW LOWER BOONES FERRY RD, SUITE 100Tigard, OR 97224
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 216-0700
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Secretary For Enrollments · (425) 358-9786
Enumeration DateJune 3, 2009
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1821224957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/CenterTaxonomy 261Q00000X
18040 SW LOWER BOONES FERRY RD, Tigard, OR 97224
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Other Names 2

Doing Business AsPmg Bridgeport Immediate Care
Doing Business AsProvidence Medical Group

Other Identifiers 1

Medicaid500611230OR

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 20

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

ANDREW DAVID BODMER PA-C
Physician Assistant
18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224
Washington County (503) 216-0700
PROVIDENCE HEALTH & SERVICES - OREGON
Clinic/Center
18040 SW LOWER BOONES FERRY RD, SUITE 104
PORTLAND, OR 97224
Washington County (855) 229-6490
KENRIC BRION CRAVER PA
Physician Assistant
18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224
Washington County (503) 216-0700
EMILY JUNE PUUKKA CLARK MD
Family Medicine
18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224
Washington County (503) 216-0700
JOHN H SCHWARTZ MD
Family Medicine
18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224
Washington County (503) 216-0700
PROVIDENCE HEALTH & SERVICES OREGON
Clinic/Center
18040 SW LOWER BOONES FERRY RD, SUITE 207
TIGARD, OR 97224
Washington County (503) 215-5340
BHAVESH RAJANI MD
Family Medicine
18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224
Washington County (503) 216-0700
MRS. LISA ROSE LUNDIN RPH
Pharmacist
18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224
Washington County (503) 216-0625

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 1821224957. It was assigned to this organization in the NPPES registry on June 3, 2009. The provider is doing business as Pmg Bridgeport Immediate Care 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 Internal Medicine with taxonomy code 207R00000X.

What insurance does Providence Health & Services Oregon accept?

Health plans from Providence Health Plan list Providence Health & Services Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.