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

Providence Health & Services - Oregon

Organization Surgery Physician · NPI 1730411034

Providence Health & Services - Oregon is a Surgery Physician in Oregon City, Oregon. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
3

Practice location Address checks out

1510 Division St Ste 210
Oregon City, OR 97045-1599
Phone: (503) 723-6525
Fax: (503) 723-6508
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1730411034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Sec Enroll · (425) 525-5392
Other names Providence Medical Group; Providence Surgery Clinic Southeast
NPI enumeratedFebruary 11, 2010
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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