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

Providence Health & Services - Oregon

Organization Clinic/Center · NPI 1992882500

Providence Health & Services - Oregon is a Clinic/Center in Phoenix, Oregon. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

205 N Phoenix Rd Ste A
Phoenix, OR 97535-9104
Phone: (541) 732-5760
Fax: (541) 732-3406
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1992882500
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Oregon
Authorized official Donald Anderson — Asst Secretary For Enrollment · (425) 525-5392
Other names Providence Medical Group South
NPI enumeratedNovember 1, 2006
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 3158, Portland, OR 97208-3158