Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Dermatology Physician in Tigard, Oregon. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
18040 SW Lowr Boones Ferry RD Ste 100Tigard, OR 97224-7215
Phone: (503) 216-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1770723017 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Health & Services - Oregon |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Pmg Bridgeport Dermatology; Providence Medical Group |
| NPI enumerated | February 26, 2009 |
| Last updated in NPPES | July 1, 2025 |
| Certification date | July 1, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
Other providers in Tigard
-
Dr. Stephen John Mannino, MD
10215 SW Hall Blvd, Tigard, OR 97223-8809 · (503) 245-2415
-
Matthew Charles McClelland, MD
18040 SW Lowr Boones Ferry RD Ste 100, Tigard, OR 97224-7258 · (503) 216-0700
-
Jessica N Mehta, MD
18040 SW Lowr Boones Ferry RD Ste 100, Tigard, OR 97224-7258 · (503) 216-0770
-
Mountain West Derm-Blackhart, PLLC
10215 SW Hall Blvd, Tigard, OR 97223-8809 · (503) 245-2415
-
Providence Health & Services - Oregon
18040 SW Lowr Boones Ferry RD Ste 100, Tigard, OR 97224-7215 · (503) 216-0700
-
Dr. Marla Ross, MD
10215 SW Hall Blvd, Tigard, OR 97223-8809 · (503) 245-2415
-
Sophia Sangar
10215 SW Hall Blvd, Tigard, OR 97223-8809 · (503) 245-2415