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

Providence Health & Services - Oregon

Organization Family Medicine Physician · NPI 1124458914

Providence Health & Services - Oregon is a Family Medicine Physician in Hillsboro, Oregon. Works from 2 locations. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
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Practice location Address checks out

7305 SE Circuit Dr
Hillsboro, OR 97123-1915
Phone: (503) 334-4714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 265 Se Oak St, Hillsboro, OR 97123-4392 — (503) 216-0850

Specialties & licences

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

Record details

NPI number1124458914
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group
NPI enumeratedNovember 15, 2013
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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