Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Health & Services - Oregon

Organization Internal Medicine Physician · NPI 1013086875

Providence Health & Services - Oregon is an Internal Medicine Physician in Milwaukie, Oregon. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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Practice location Address checks out

10330 SE 32nd Ave Ste 305
Milwaukie, OR 97222-6596
Phone: (503) 513-1800
Fax: (503) 513-1850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1013086875
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group Milwaukie; Providence Medical Group Milwaukie
NPI enumeratedNovember 7, 2006
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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