SISTERS OF PROVIDENCE IN OREGON
NPI 1881770808
Clinic/Center in Shady Cove, OR

Q: What is Sisters Of Providence In Oregon's NPI number?

The NPI number for Sisters Of Providence In Oregon is 1881770808. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as Pmg South Shady Cove.

Q: What is Sisters Of Providence In Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since October 31, 2006

25 ERICKSON AVENUE, SHADY COVE, OR 97539(541) 878-3730 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, May 12, 2025 (2 updates tracked since 2025).

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About Sisters Of Providence In Oregon NPPES

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

SISTERS OF PROVIDENCE IN OREGON (NPI 1881770808), doing business as Pmg South Shady Cove, is a healthcare organization registered as a clinic/center in Shady Cove, Oregon and active in the NPI registry since October 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1881770808

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSISTERS OF PROVIDENCE IN OREGON

Location Address25 ERICKSON AVENUEShady Cove, OR 97539

Mailing AddressPo Box 3158Portland, OR 97208-3158

Phone(541) 878-3730

Organization SubpartYes

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateOctober 31, 2006

Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1881770808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

25 ERICKSON AVENUE, Shady Cove, OR 97539

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Other Names 1

Doing Business AsPmg South Shady Cove

Other Identifiers 2

OtherCG6801OR · Rail Road Medicare

Medicaid288483OR

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 Sisters Of Providence In Oregon's NPI number?

The NPI number for Sisters Of Providence In Oregon is 1881770808. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as Pmg South Shady Cove.

Where is Sisters Of Providence In Oregon located?

Sisters Of Providence In Oregon is located at 25 Erickson Avenue, Shady Cove, OR 97539. The listed phone number is (541) 878-3730.

What is Sisters Of Providence In Oregon's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Sisters Of Providence In Oregon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.