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Provider record · NPI 1053419218 · active

PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine Physician in GRESHAM, Oregon

Record

NPI
1053419218
Type
Organization (NPI-2)
Specialty
Family Medicine Physician (207Q00000X)
Practice location
GRESHAM OR 97030
Practice phone
5032159500
Locations
22 practice addresses on file
Last updated
2025-06-20

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Contact details

Work email
Not on file
Home address
Not matched
Cell phone
Not matched

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Leadership on file

No named leadership contacts on file.

Executives, officers and owners as public filings name them, with the title each filing gives them. Leadership across US healthcare, by role.

What they bill and prescribe

The procedures this provider billed Medicare for, code by code, and the drugs they prescribed under Part D — from published Medicare data for 2024, for signed-in customers. Search can be filtered on either by name, so “knee replacement” and “Eliquis” are queries rather than codes.

Published Medicare fee-for-service data for 2024, covering about one in seven clinicians nationally, and more in the specialties that bill it most — not all-payor claims, and low-volume providers are removed before publication. A provider with nothing published has no published Medicare volume, which covers no volume, volume below the publication threshold and not billing Medicare at all — the published data does not separate them. Provider-level aggregates only; nothing patient-level exists here. What it covers.

Also in the record

Group affiliations and employers, facility ownership, programme standing and licence detail appear here for signed-in customers.

Similar organisations

Organisations like PROVIDENCE HEALTH & SERVICES - OREGON

OrganisationTypeLocationBeds
Complete Family Healthcare, PCFamily Medicine PhysicianGresham, OR—
Gresham Women's Health LLCFamily Medicine PhysicianGresham, OR—
MTN. View Family Practice, PCFamily Medicine PhysicianGresham, OR—
Roberts Street Clinic, P.C.Family Medicine PhysicianGresham, OR—
The Wallace Medical ConcernFamily Medicine PhysicianGresham, OR—

An NPI is an identifier, not a credential: it says this provider is enumerated, not that they are licensed or in good standing today.

PROVIDENCE HEALTH & SERVICES - OREGON · NPI 1053419218 · NPI Mark