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

Providence Health & Services - Oregon

Organization Emergency Medicine Physician · NPI 1245567809

Providence Health & Services - Oregon is an Emergency Medicine Physician in Happy Valley, Oregon. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
6

Practice location Address checks out

16180 SE Sunnyside Rd Ste 102
Happy Valley, OR 97015-6302
Phone: (503) 582-4975
Fax: (503) 582-4999
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1245567809
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group Happy Valley Immediate Care
NPI enumeratedNovember 3, 2009
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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