NPI 1023488343

Providence Health & Services Oregon

Organisation General Practice Physician Lake Oswego, OR

Practice location

Address: 4823 Meadows Rd, Lake Oswego, OR 97035-2529
Phone: (503) 216-1580
Mailing address: PO Box 31001 - 4180, Pasadena, CA 91110-4180

Authorised official

Name: Donald Wayne Anderson
Title: Asst Secretary for Enrollment
Phone: (425) 525-5392

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Oregon →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1023488343
Entity type: Organization
NPI issued: 29 Sep 2015
Record last updated: 20 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.