Providence Health & Services - Oregon
Providence Health & Services - Oregon is an Internal Medicine Physician in Portland, Oregon. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1321 NE 99th Ave Ste 100Portland, OR 97220-9437
Phone: (503) 215-9900
Fax: (503) 215-4055
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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 number | 1073604955 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| Other names | Providence Medical Group; Providence Medical Group Gateway Immediate Care |
| NPI enumerated | September 27, 2006 |
| Last updated in NPPES | June 20, 2025 |
| Certification date | June 20, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
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Dr. Wijan Prapong, MD
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Professional Medical Services LLC
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Providence Health & Services - Oregon
9427 SW Barnes Rd Ste 595, Portland, OR 97225-6640 · (503) 216-2346
-
Providence Health & Services - Oregon
5050 NE Hoyt St Ste 540, Portland, OR 97213-2985 · (503) 215-6601
-
Providence Health & Services - Oregon
909 SW 18th Ave, Portland, OR 97205-1705 · (503) 962-1946
-
Providence Health & Services - Oregon
9427 SW Barnes Rd Ste 595, Portland, OR 97225-6652 · (503) 296-9242