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 1508015348

Providence Health & Services - Oregon is a Family Medicine Physician in Happy Valley, Oregon. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

16180 SE Sunnyside Rd Ste 102
Happy Valley, OR 97015-6302
Phone: (503) 582-4900
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 number1508015348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group Happy Valley
NPI enumeratedSeptember 17, 2008
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Happy Valley