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Providence Health & Services

Internal Medicine Physician in Oregon City, OR · enumerated 2007 · authorized official Donald Anderson, Asst Sec Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154539203

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services
Other name <Unavail>
Practice address 1510 Division St Ste 200, Oregon City, OR, 97045
Phone (503) 650-6880
Fax (503) 650-6888
Enumeration date May 21, 2007
Last updated in NPPES Jun 20, 2025

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Donald Anderson
Title Asst Sec Enrollment
Phone (425) 358-9786

Other identifiers

Identifier Type State Issuer
067983 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-06-20. Verify at npiregistry.cms.hhs.gov.
Where is Providence Health & Services located?
The practice location on file with NPPES is in Oregon City, OR.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-20.