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

Providence Health & Services - Oregon

Organization Psychologist · NPI 1699870873

Providence Health & Services - Oregon is a Psychologist in Milwaukie, Oregon. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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Practice location Address checks out

10330 SE 32nd Ave Ste 205
Milwaukie, OR 97222-6594
Phone: (503) 513-8950
Fax: (503) 513-8951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Psychologist Taxonomy 103T00000X
Clinic/Center Taxonomy 261Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1699870873
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group Milwaukie Family Medicine; Providence Medical Group Milwaukie Family Medicine
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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