OrganizationActive
Providence Health & Services - Oregon
NPI 1508015348 · Family Medicine Physician · Happy Valley, OR
Provider details
- NPI number
- 1508015348
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
16180 Se Sunnyside Road
Suite 102
Happy Valley, OR 97015-6302
Phone: (503) 582-4900
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 Happy Valley
Registry dates
- Enumerated
- 2008-09-17
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.