Family Medicine
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 Plan acceptance stays unpublished until the practice reports it.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 1861513731 · enumerated 2007-04-02 · record updated 2025-07-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DONALD ANDERSON, ASSISTANT SECRETARY ENROLLMENT · (425) 358-9786
Other names: PMG BETHANY, PROVIDENCE MEDICAL GROUP
Addresses and phones
- Practice location 15640 NW LAIDLAW RD, SUITE 102, PORTLAND, OR, 97229-3828 (503) 764-0100 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 31001 - 4180, PASADENA, CA, 91110-4180 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X
- Clinic/Center 261Q00000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
PORTLAND, OR, 972293828
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.