Organization · Type 2 NPI

Providence Health & Services - Oregon

Family Medicine Physician · Gresham, OR

NPI number 1053419218 Active

Practice location

440 NW Division St
Gresham, OR 97030-5506

Call (503) 215-9500 Map

Fax (503) 215-9525

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Other practice locations

  • 5211 NE Glisan St Bldg C, Portland, OR 97213-3052 · (503) 215-6601

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Clinic/Center 261Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21 other providers at this address

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About NPI 1053419218

Providence Health & Services - Oregon's National Provider Identifier is 1053419218, issued on Sep 20, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Gresham, OR. The record was last updated on Jun 20, 2025.