OrganizationActive
Providence Health & Services Oregon
NPI 1457689598 · Occupational Medicine Clinic/Center · Clackamas, OR
Provider details
- NPI number
- 1457689598
- Entity type
- Organization
- Primary specialty
- Occupational Medicine Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secreatry for Enrollment(425) 358-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9290 Se Sunnybrook Blvd
Suite 210
Clackamas, OR 97015
Phone: (503) 216-7960
Fax: (503) 216-2823
Street-level locationGet directions
Mailing address
Po Box 4388
Portland, OR 97208-4388
Other names (DBA / former)
- Doing business as
- Prov Health Sys-Or Shared-Svs Div
- Other name
- Providence Occupational Medicine-Clackamas
Registry dates
- Enumerated
- 2009-12-01
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.