Organization · Type 2 NPI

Providence Health & Services - Oregon

Family Medicine Physician · Newberg, OR

NPI number 1750459327 Active

Practice location

308 Villa Rd, Suite 114
Newberg, OR 97132-1881

Call (503) 537-1850 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Adult Health Nurse Practitioner	363LA2200X	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.

5 other providers at this address

Other family medicine physician providers in Newberg

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NPI record

NPI: 1750459327
Entity type: Organization (Type 2)
Issued: Dec 1, 2006
Last updated: Jul 4, 2025
Status: Active
Subpart: Yes of Providence Health & Services - Oregon

Other names

<unavail>
PMG Newberg Family Medicine · doing business as
Providence Medical Group · doing business as

Authorized official

Donald Wayne 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 1750459327

Providence Health & Services - Oregon's National Provider Identifier is 1750459327, issued on Dec 1, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Newberg, OR. The record was last updated on Jul 4, 2025.