Organization · Type 2 NPI

Providence Health & Services - Oregon

Family Medicine Physician · Happy Valley, OR

NPI number 1508015348 Active

Practice location

16180 SE Sunnyside Road, Suite 102
Happy Valley, OR 97015-6302

Call (503) 582-4900 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Clinic/Center	261Q00000X	None 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.

Other family medicine physician providers in Happy Valley

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NPI record

NPI: 1508015348
Entity type: Organization (Type 2)
Issued: Sep 17, 2008
Last updated: Jun 30, 2025
Status: Active

Other names

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Providence Medical Group · doing business as
Providence Medical Group Happy Valley · doing business as

Authorized official

Donald W Anderson
Assistant Secretary 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 1508015348

Providence Health & Services - Oregon's National Provider Identifier is 1508015348, issued on Sep 17, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Happy Valley, OR. The record was last updated on Jun 30, 2025.