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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1982997128
Internal Medicine - Cardiovascular Disease in Milwaukie, OR

Active since May 20, 2011
10330 SE 32ND AVE, SUITE 210, MILWAUKIE, OR 97222(503) 962-1000 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, May 5, 2025 (2 updates tracked since 2025).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1982997128), doing business as Providence Medical Group, is a healthcare organization registered as a cardiovascular disease in Milwaukie, Oregon and active in the NPI registry since May 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1982997128
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address10330 SE 32ND AVE, SUITE 210Milwaukie, OR 97222-6594
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180
Phone(503) 962-1000
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMay 20, 2011
Last NPPES UpdateJuly 4, 20252 updates tracked since enumeration
NPPES CertifiedJuly 4, 2025
✔ NPI 1982997128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedClinic/CenterTaxonomy 261Q00000X
10330 SE 32ND AVE, Milwaukie, OR 97222
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Other Names 2

Doing Business AsProvidence Medical Group
Doing Business AsProvidence Heart Clinic Milwaukie

Other Identifiers 1

Medicaid500638985OR

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.

PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
10330 SE 32ND AVE, SUITE 305
MILWAUKIE, OR 97222
Clackamas County (503) 513-1800
KATHERINE LOPEZ SANKEY MD
General Practice
10330 SE 32ND AVE, STE 205
MILWAUKIE, OR 97222
Clackamas County (503) 513-8950
JOHANNA BETH WARREN MD
Family Medicine
10330 SE 32ND AVE, SUITE 205
MILWAUKIE, OR 97222
Clackamas County (503) 513-8950
RACHELLE KIRSTEN SHERARD LPN
Family Medicine (Geriatric Medicine)
10330 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 513-1300
GINA GABRIELLI AU.D.
Audiologist
10330 SE 32ND AVE, SUITE 105
MILWAUKIE, OR 97222
Clackamas County (503) 513-8630
KIMBERLY KAY AMAYAO RN
Registered Nurse
10330 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 513-1300
JOSHUA D REAGAN MD
Family Medicine
10330 SE 32ND AVE, SUITE 205
MILWAUKIE, OR 97222
Clackamas County (503) 513-8950
WILLIAM R GILLANDERS MD
Family Medicine
10330 SE 32ND AVE, SUITE 205
MILWAUKIE, OR 97222
Clackamas County (503) 513-8950

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 1982997128. It was assigned to this organization in the NPPES registry on May 20, 2011. The provider is doing business as Providence Medical Group and Providence Heart Clinic Milwaukie.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 10330 SE 32nd Ave Suite 210, Milwaukie, OR 97222. The listed phone number is (503) 962-1000.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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.