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

Providence Health & Services - Oregon

Organization Otolaryngology Physician · NPI 1629146121

Providence Health & Services - Oregon is an Otolaryngology Physician in Newberg, Oregon. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

310 Villa Rd Ste 104
Newberg, OR 97132-1886
Phone: (503) 537-1508
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Otolaryngology Physician Taxonomy 207Y00000X

Record details

NPI number1629146121
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Oregon
Authorized official Donald Anderson — Assistant Secreatry For Enrollment · (425) 358-9786
Other names Pmg Newberg Surgical Services; Providence Medical Group
NPI enumeratedDecember 1, 2006
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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