Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Dermatology Physician in Clackamas, Oregon. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
9290 SE Sunnybrook Blvd Ste 120Clackamas, OR 97015-6802
Phone: (503) 215-9080
Fax: (503) 215-9099
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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 | 1790107050 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Asst Sec Enrollment · (425) 358-9786 |
| Other names | Providence Medical Group; Providence Medical Group Glisan Dermatology At Sunnyside |
| NPI enumerated | January 6, 2014 |
| 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 Clackamas
-
Kenneth Myungdei Kang, MD
9900 SE Sunnyside Rd, Clackamas, OR 97015-9777 · (503) 571-0000
-
Dr. Susan Elise Koch, MD
9900 SE Sunnyside Rd, Clackamas, OR 97015-9750 · (503) 653-6440
-
Jo M Martin, MD
9900 SE Sunnyside Rd NW Permanente Pc Physicians And Surgeons, Clackamas, OR 97015-9777 · (503) 571-3332
-
Dr. Zachary G Pena, MD
10151 SE Sunnyside Rd Ste 240, Clackamas, OR 97015-5774 · (503) 962-1840
-
Daniel C. Root, MD
9280 SE Sunnyside Blvd Ste 200, Clackamas, OR 97015 · (503) 962-1840
-
Travis James Widman, MD
9900 SE Sunnyside Rd, Clackamas, OR 97015-9777 · (503) 571-3332