Organization · Type 2 NPI

Providence Health & Services - Oregon

Internal Medicine Physician · Sherwood, OR

NPI number 1184729329 Active

Practice location

16770 SW Edy Rd, Suite 102
Sherwood, OR 97140-9679

Fax (503) 216-9650

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician Primary 207R00000XNone listed
Pediatrics Physician 208000000XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Geriatric Psychiatry Physician 2084P0805XNone listed
Clinic/Center 261Q00000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1184729329

Providence Health & Services - Oregon's National Provider Identifier is 1184729329, issued on Sep 13, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Sherwood, OR. The record was last updated on Jun 20, 2025.