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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1891026647
General Practice in Oregon City, OR

Active since January 19, 2010
1510 DIVISION ST, SUITE 200, OREGON CITY, OR 97045(503) 650-6880(503) 650-6888 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, Apr 16, 2021 (2 updates tracked since 2021).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1891026647), doing business as Providence Medical Group, is a healthcare organization registered as a general practice in Oregon City, Oregon and active in the NPI registry since January 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1891026647
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1510 DIVISION ST, SUITE 200Oregon City, OR 97045-1599
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 650-6880
Fax(503) 650-6888
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateJanuary 19, 2010
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1891026647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
1510 DIVISION ST, Oregon City, OR 97045
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Medical Group Oregon City

Other Identifiers 1

Medicaid500619146OR

Other Providers at the Same Location NPPES 16

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

DR. JENNIFER EILEEN SHEPARD MD
Pediatrics
1510 DIVISION ST, SUITE 280
OREGON CITY, OR 97045
Clackamas County (503) 905-3400
CLACKAMAS SURGICAL ASSOCIATES, INC.
Surgery (Vascular Surgery)
1510 DIVISION ST, SUITE 210
OREGON CITY, OR 97045
Clackamas County (503) 655-6313
DR. WILLIAM ROMNEY BURKE MD
Urology
1510 DIVISION ST, SUITE 10
OREGON CITY, OR 97045
Clackamas County (503) 656-2606
PROVIDENCE HEALTH & SERVICES - OREGON
Clinic/Center
1510 DIVISION ST, SUITE 100
OREGON CITY, OR 97045
Clackamas County (503) 742-6770
PATRICIA EILEEN CAIN DPM
Podiatrist (Foot Surgery)
1510 DIVISION ST, SUITE 80
OREGON CITY, OR 97045
Clackamas County (503) 655-0775
OREGON CITY FOOT CLINIC, PC
Clinic/Center (Podiatric)
1510 DIVISION ST, SUITE 80
OREGON CITY, OR 97045
Clackamas County (503) 655-0775
HEATHER MIRENDA
Social Worker
1510 DIVISION ST, 90
OREGON CITY, OR 97045
Clackamas County (503) 557-1373
WILLAMETTE FALLS PEDIATRIC GROUP
Pediatrics
1510 DIVISION ST, SUITE 280
OREGON CITY, OR 97045
Clackamas County (503) 905-3400

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 1891026647. It was assigned to this organization in the NPPES registry on January 19, 2010. The provider is doing business as Providence Medical Group and Providence Medical Group Oregon City.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1510 Division St Suite 200, Oregon City, OR 97045. The listed phone number is (503) 650-6880.

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

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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.