Organization · Type 2 NPI

Providence Health & Services - Oregon

Pulmonary Disease Physician · Oregon City, OR

NPI number 1821320128 Active

Practice location

1510 Division St, Ste 170
Oregon City, OR 97045-2551

Call (503) 742-6700 Map

Fax (503) 742-6705

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Pulmonary Disease Physician Primary	207RP1001X	None listed
Clinic/Center	261Q00000X	None listed

Pulmonary Disease Physician: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

16 other providers at this address

NPI record

NPI: 1821320128
Entity type: Organization (Type 2)
Issued: Feb 11, 2010
Last updated: Jul 4, 2025
Status: Active

Other names

<unavail>
Provdience Medical Group · doing business as
Providence Medical Group Oregon City Pulmonary & Critical Care · doing business as

Authorized official

Mr. Donald W Anderson
Assistant Secretary 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 1821320128

Providence Health & Services - Oregon's National Provider Identifier is 1821320128, issued on Feb 11, 2010. The primary taxonomy on file is Pulmonary Disease Physician (207RP1001X), and the practice location is in Oregon City, OR. The record was last updated on Jul 4, 2025.