PROVIDENCE MEDICAL GROUP – Clinic/Center, NPI 1346533585

PROVIDENCE MEDICAL GROUP is a healthcare provider. based in Portland, Oregon. specializing in Clinic/Center. The NPI Number for PROVIDENCE MEDICAL GROUP is 1346533585

Main info

Organization
Name
PROVIDENCE MEDICAL GROUP
NPI
1346533585
Phone
Not provided
Address
PO BOX 3158
Authorized Official
DONALD W ANDERSON JR. ASSISTANT SECRETARY ENROLLMENT
Enumeration Date
20 May 2011
Last Update Date
30 June 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness90
Years active:15State licenses:0Digital endpoints

Provider Addresses for PROVIDENCE MEDICAL GROUP

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • PO BOX 31001 - 4180

    PASADENA, CA 911104180

    Phone:

    Type: Mailing

  • 1510 DIVISION ST

    SUITE 100

    OREGON CITY, OR 970451572

    Phone: (503) 742-6770

    Fax: (503) 742-6777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Reviews

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Frequently asked questions

Is PROVIDENCE MEDICAL GROUP listed with a National Provider Identifier?
Yes — PROVIDENCE MEDICAL GROUP has NPI 1346533585 on file in the registry.
Is PROVIDENCE MEDICAL GROUP shown as active in public data?
Registry records indicate PROVIDENCE MEDICAL GROUP maintains an active NPI.
What clinical focus is listed for PROVIDENCE MEDICAL GROUP?
At a glance, PROVIDENCE MEDICAL GROUP is tied to Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Oregon is PROVIDENCE MEDICAL GROUP registered?
Use Portland, Oregon as the headline location for PROVIDENCE MEDICAL GROUP here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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