Organization · Type 2 NPI

Providence Health & Services - Oregon

Clinic/Center · Newberg, OR

NPI number 1356411342 Active

Practice location

1000 N Providence Dr Ste 120
Newberg, OR 97132-7582

Call (503) 537-5700 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Other practice locations

1003 Providence Dr, Suite 210, Newberg, OR 97132-7523 · (503) 537-5900

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11 other providers at this address

Other clinic/center providers in Newberg

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NPI record

NPI: 1356411342
Entity type: Organization (Type 2)
Issued: Nov 8, 2006
Last updated: Jun 30, 2025
Status: Active

Other names

<unavail>
Providence Medical Group · doing business as
Providence Medical Group Newberg · doing business as

Authorized official

Donald Wayne Anderson
Asst Sec for Enrollment
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356411342

Providence Health & Services - Oregon's National Provider Identifier is 1356411342, issued on Nov 8, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Newberg, OR. The record was last updated on Jun 30, 2025.