PROVIDENCE HEALTH & SERVICES OREGON
NPI 1992138309
Internal Medicine in Oregon City, OR

Q: What is Providence Health & Services Oregon's NPI number?

The NPI number for Providence Health & Services Oregon is 1992138309. It was assigned to this organization in the NPPES registry on August 21, 2013. The provider is doing business as Providence Medical Group and Providence Willamette Falls Child Adolescent Outpatient Psychiatry.

Q: What is Providence Health & Services Oregon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 21, 2013

1511 DIVISION ST STE 101, OREGON CITY, OR 97045(503) 722-3705(503) 722-3750 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, Apr 24, 2019 (3 updates tracked since 2019).

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About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1992138309), doing business as Providence Medical Group, is a healthcare organization registered as an internal medicine in Oregon City, Oregon and active in the NPI registry since August 2013. The organization lists Donald Wayne Anderson, Asst Secretary For Enrollments, as its authorized official.

NPPES Registry Identity

NPI1992138309

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON

Location Address1511 DIVISION ST STE 101Oregon City, OR 97045-1589

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180

Phone(503) 722-3705

Fax(503) 722-3750

Organization SubpartNo

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

Enumeration DateAugust 21, 2013

Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1992138309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

1511 DIVISION ST STE 101, Oregon City, OR 97045

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Other Names 2

Doing Business AsProvidence Medical Group

Doing Business AsProvidence Willamette Falls Child Adolescent Outpatient Psychiatry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

ZACHARY P MUSCATO D.O.

Psychiatry & Neurology (Child & Adolescent Psychiatry)