Organization · Type 2 NPI

Providence Health & Services - Oregon

Family Medicine Physician · Milwaukie, OR

NPI number 1699870873 Active

Practice location

10330 SE 32nd Ave, Suite 205
Milwaukie, OR 97222-6594

Call (503) 513-8950 Map

Fax (503) 513-8951

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	None listed
Family Medicine Physician Primary	207Q00000X	None listed
Clinic/Center	261Q00000X	None listed
Family Nurse Practitioner	363LF0000X	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.

41 other providers at this address

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NPI record

NPI: 1699870873
Entity type: Organization (Type 2)
Issued: Sep 13, 2006
Last updated: Jun 30, 2025
Status: Active

Other names

<unavail>
Providence Medical Group · doing business as
Providence Medical Group Milwaukie Family Medicine · doing business as
Providence Medical Group Milwaukie Family Medicine · 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 1699870873

Providence Health & Services - Oregon's National Provider Identifier is 1699870873, issued on Sep 13, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Milwaukie, OR. The record was last updated on Jun 30, 2025.