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

Providence Health & Services - Oregon

Organization General Practice Physician · NPI 1891026647

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

In the registry since
2010
Specialties on file
2

Practice location Address checks out

1510 Division St Ste 200
Oregon City, OR 97045-1599
Phone: (503) 650-6880
Fax: (503) 650-6888
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1891026647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group; Providence Medical Group Oregon City
NPI enumeratedJanuary 19, 2010
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 3158, Portland, OR 97208-3158