PROVIDENCE HEALTH & SERVICES - OREGON – NPI #1538400114
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

PROVIDENCE HEALTH & SERVICES - OREGON is a provider located in HILLSBORO, OR. NPPES has assigned the NPI number 1538400114 to PROVIDENCE HEALTH & SERVICES - OREGON on March 07, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Mar 23, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE HEALTH & SERVICES - OREGON below.

NPI Profile for
PROVIDENCE HEALTH & SERVICES - OREGON

NPI Number
1538400114
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other name(s)
All associated names:
Doing Business As (dba)
PROVIDENCE MEDICAL GROUP
Doing Business As (dba)
PROVIDENCE MEDICAL GROUP MATERNAL CARE CLINIC
Primary location
7305 SE CIRCUIT DR STE 260
HILLSBORO, OR 97123-1966
Phone: (503) 342-9928 Fax:
2 Other location(s):
2705 E BURNSIDE ST
SUITE 114
PORTLAND, OR 97214-1767
Phone: (503) 215-6262
Fax: (503) 234-5437
545 NE 47th Ave Ste 102
Portland, OR 97213-2237
Phone: (503) 215-6262
Mailing address
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone: Fax:
Organization Subpart
No
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
Mar 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.