OrganizationActive
Providence Health & Services - Oregon
NPI 1003223959 · Internal Medicine Physician · Hillsboro, OR
Provider details
- NPI number
- 1003223959
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Asst Secretary for Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
18650 Nw Cornell Rd
Suite 212
Hillsboro, OR 97124-9208
Phone: (503) 537-5900
Fax: (503) 537-5959
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31001 - 4180
Pasadena, CA 91110-4180
Other names (DBA / former)
- Doing business as
- Providence Medical Group
- Doing business as
- Providence Medical Group Newberg Specialties at Tanasbourne
Registry dates
- Enumerated
- 2014-07-11
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.