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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1861513731
Family Medicine in Portland, OR

Active since April 02, 2007
15640 NW LAIDLAW RD, SUITE 102, PORTLAND, OR 97229(503) 764-0100 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 4, 2025, Jun 13, 2024, Sep 23, 2020 (3 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1861513731), doing business as Pmg Bethany, is a healthcare organization registered as a family medicine in Portland, Oregon and active in the NPI registry since April 2007. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1861513731
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address15640 NW LAIDLAW RD, SUITE 102Portland, OR 97229-3828
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 764-0100
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1861513731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
15640 NW LAIDLAW RD, Portland, OR 97229
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Other Names 2

Doing Business AsPmg Bethany
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 7

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

DONG LIM JI M.D.
Family Medicine
15640 NW LAIDLAW RD, SUITE 102
PORTLAND, OR 97229
Washington County (503) 764-0100
DR. LORI FRANCINE GLUCK MD
Family Medicine
15640 NW LAIDLAW RD, SUITE 102
PORTLAND, OR 97229
Washington County (503) 764-0100
DR. ROXANA RUTH MASSEY ABBOTT DO
Family Medicine
15640 NW LAIDLAW RD, SUITE 102
PORTLAND, OR 97229
Washington County (503) 764-0100
JOSHUA RAJ M.D.
Family Medicine
15640 NW LAIDLAW RD, SUITE 102
PORTLAND, OR 97229
Washington County (503) 764-0100
GUNJEET K SAMAGH MD
Family Medicine
15640 NW LAIDLAW RD, SUITE 102
PORTLAND, OR 97229
Washington County (503) 764-0100
KATY C STROPNICKY FNP
Nurse Practitioner (Family)
15640 NW LAIDLAW RD, SUITE 105
PORTLAND, OR 97229
Washington County (503) 764-0100
MR. FRANK CHARLES BARICH MD PHD
Internal Medicine
15640 NW LAIDLAW RD, SUITE 102
PORTLAND, OR 97229
Washington County (503) 764-0100

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 1861513731. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Pmg Bethany and Providence Medical Group.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 15640 NW Laidlaw Rd Suite 102, Portland, OR 97229. The listed phone number is (503) 764-0100.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 with the weekly NPPES data releases published by CMS.