Providence Health & Services - Oregon

Family Medicine



 4004 Kruse Way Pl Ste 300, Lake Oswego
    Oregon, 97035-2479

 503-216-1500    Maps & Directions
Providence Health & Services - Oregon is a Family Medicine Clinic in Lake Oswego, Oregon. It is situated at 4004 Kruse Way Pl Ste 300, Lake Oswego and its contact number is 503-216-1500. The authorized person of Providence Health & Services - Oregon is Donald Wayne Anderson Jr. who is Assistant Secreatry For Enrollment of the clinic and their contact number is 425-358-9786.
Providence Health & Services - Oregon Clinic Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Physical Therapy treatments have been proved effective in many problems, such as continuous back pain, neck pain, headache, digestive problems, balance difficulties, whiplash and other collision injuries, occupational and sports injuries. Some of the other diseases in which physio treatment is helpful are Sciatica, Scoliosis, Fibromyalgia, TMJ disorders etc.
Complete Profile:
Providence Health & Services - Oregon Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Specialization: Family Medicine
Clinic Address:4004 Kruse Way Pl Ste 300, Lake Oswego,
Oregon, 97035-2479
Phone:503-216-1500
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Donald Wayne Anderson Jr.
Position: Assistant Secreatry For Enrollment
Contact Number: 425-358-9786
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Providence Health & Services - Oregon Clinic are as mentioned below.
NPI Number: 1205937273
NPI Enumeration Date: 25 Sep, 2006
NPI Last Update On: 04 Jul, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services - Oregon are as mentioned below.
SpecializationLicense NumberStateStatus
Family Medicine Primary
Physical Therapist Secondary
Clinic/center Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
241291MedicaidOregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Providence Health & Services - Oregon
Po Box 31001 - 4180,
Pasadena, California
Zip: 91110-4180
Phone Number: 503-215-6494
Fax Number: 503-215-6644
Patients can reach Providence Health & Services - Oregon at 4004 Kruse Way Pl Ste 300, Lake Oswego, Oregon or can call to book an appointment on 503-216-1500.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.