PROVIDENCE MEDICAL GROUP – Cardiovascular Disease Physician, NPI 1932403029

PROVIDENCE MEDICAL GROUP is a healthcare provider. based in Portland, Oregon. specializing in Cardiovascular Disease Physician. The NPI Number for PROVIDENCE MEDICAL GROUP is 1932403029

Main info

Organization
Name
PROVIDENCE MEDICAL GROUP
NPI
1932403029
Phone
Not provided
Address
PO BOX 3158
Authorized Official
DONALD WAYNE ANDERSON JR. ASSISTANT SECRETARY ENROLLMENT
Enumeration Date
4 January 2011
Last Update Date
4 July 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

  • 18650 NW CORNELL RD

    SUITE 212

    HILLSBORO, OR 971249208

    Phone: (503) 216-9715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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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

What is the 10-digit NPI for PROVIDENCE MEDICAL GROUP?
PROVIDENCE MEDICAL GROUP — NPI 1932403029 — is the standard way to identify this listing.
Does the file indicate PROVIDENCE MEDICAL GROUP is practicing under active NPI?
Directory data currently reports PROVIDENCE MEDICAL GROUP as active.
What is PROVIDENCE MEDICAL GROUP's specialty?
The listing groups PROVIDENCE MEDICAL GROUP with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What area does PROVIDENCE MEDICAL GROUP serve?
PROVIDENCE MEDICAL GROUP's listing highlights Portland, Oregon; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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