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

Providence Health & Services - Oregon

Organization Family Medicine Physician · NPI 1255641064

Providence Health & Services - Oregon is a Family Medicine Physician in Molalla, Oregon. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

110 Center St
Molalla, OR 97038-0189
Phone: (034) 053-7777
Show map & directions

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

Specialties & licences

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

Record details

NPI number1255641064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Pmg Molalla; Providence Medical Group
NPI enumeratedOctober 14, 2010
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing addressPo Box 31001-4180, Pasadena, CA 91110-4180

Other providers in Molalla