NPI 1124458914

Providence Health & Services - Oregon

Organisation Internal Medicine Physician Hillsboro, OR

Practice location

Address: 7305 SE Circuit Dr, Hillsboro, OR 97123-1915
Phone: (503) 334-4714
Mailing address: PO Box 31001 - 4180, Pasadena, CA 91110-4180

Authorised official

Name: Donald W Anderson
Title: Assistant Secretary of Enrollments
Phone: (425) 358-9786

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Oregon →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Oregon →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1124458914
Entity type: Organization
NPI issued: 15 Nov 2013
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.