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

Providence Health & Services Oregon

Organization General Practice Physician · NPI 1023488343

Providence Health & Services Oregon is a General Practice Physician in Lake Oswego, Oregon. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

4823 Meadows Rd
Lake Oswego, OR 97035-2529
Phone: (503) 216-1580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1023488343
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Secretary For Enrollment · (425) 525-5392
Other names Providence Medical Group
NPI enumeratedSeptember 29, 2015
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Lake Oswego