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

Providence Health & Services Oregon

Organization Internal Medicine Physician · NPI 1821224957

Providence Health & Services Oregon is an Internal Medicine 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 100
Tigard, OR 97224
Phone: (503) 216-0700
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1821224957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Secretary For Enrollments · (425) 358-9786
Other names Pmg Bridgeport Immediate Care; Pmg Bridgeport Immediate Care; Providence Medical Group
NPI enumeratedJune 3, 2009
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 3158, Portland, OR 97208-3158

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