Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Dermatology Physician in Tigard, Oregon. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 4
Practice location Address checks out
18040 SW Lowr Boones Ferry RD Ste 100Tigard, OR 97224-7215
Phone: (503) 216-0700
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X |
| Neurology Physician | Taxonomy 2084N0400X |
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1841452521 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 525-5392 |
| Other names | Pmg Bridgeport; Pmg Bridgeport; Providence Medical Group |
| NPI enumerated | June 25, 2008 |
| Last updated in NPPES | July 4, 2025 |
| Certification date | July 4, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
Other providers in Tigard
-
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