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

Providence Health & Services - Oregon

Organization Anesthesiology Physician · NPI 1912282369

Providence Health & Services - Oregon is an Anesthesiology Physician in Oregon City, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
Specialties on file
8

Practice location Address checks out

1500 Division St
Oregon City, OR 97045-1527
Phone: (503) 215-2364
Fax: (503) 215-2345
Show map & directions

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

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 140563 (OR)
Anesthesiology Physician Taxonomy 207L00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Nuclear Medicine Physician Taxonomy 207U00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X

Record details

NPI number1912282369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Willamette Falls Medical Center; Providence Willamette Falls Medical Center
NPI enumeratedOctober 18, 2011
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing addressPo Box 31001-4199, Pasadena, CA 91110-4199

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