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

Providence Health & Services Oregon

Organization Internal Medicine Physician · NPI 1992138309

Providence Health & Services Oregon is an Internal Medicine Physician in Oregon City, Oregon. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
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Practice location Address checks out

1511 Division St Ste 101
Oregon City, OR 97045-1589
Phone: (503) 722-3705
Fax: (503) 722-3750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1992138309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Secretary For Enrollments · (425) 358-9786
Other names Providence Medical Group; Providence Willamette Falls Child Adolescent Outpatient Psychiatry; Providence Willamette Falls Child Adolescent Outpatient Psychiatry
NPI enumeratedAugust 21, 2013
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Oregon City