Dermatology
PROVIDENCE HEALTH & SERVICES - OREGON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1083714141 · enumerated 2006-09-25 · record updated 2025-06-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. DONALD ANDERSON, Asst Sec Enroll · (425) 358-9786
Other names: PROVIDENCE MEDICAL GROUP SUNSET, PROVIDENCE MEDICAL GROUP
Addresses and phones
- Practice location 417 SW 117TH AVE, 2ND FLOOR, PORTLAND, OR, 97225-5924 (503) 216-9400 Fax (503) 216-9499 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 31001 - 4180, PASADENA, CA, 91110-4180 (503) 215-6494 Fax (503) 215-6644 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinic/Center 261Q00000X
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
-
Practice location
PORTLAND, OR, 972255924
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.