NPIMap

Organization Active NPI

Providence Health & Services-Oregon Newberg Medical Center

Doing business as Providence Newberg Medical Center Lifeline

  • Emergency Care Clinic/Center
  • Sherwood, OR
National Provider Identifier
1831262591
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
PROVIDENCE HEALTH & SERVICES-OREGON NEWBERG MEDICAL CENTER
Doing business as
Providence Newberg Medical Center Lifeline
Practice address
16078 SW Tualatin Sherwood Rd
Sherwood, OR 97140-8522
Phone
(503) 537-1463
Fax
(503) 537-1812
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary Enrollments
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

16078 SW Tualatin Sherwood Rd
Sherwood, OR 97140-8522

Mailing address

1001 Providence Drive
Newberg, OR 97132
Phone (503) 215-4323

Other identifiers 1

IdentifierTypeStateIssuer
227837MedicaidOR

Other names 1

  • Providence Newberg Medical Center Lifeline Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Providence Health Service-2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16078 SW Tualatin Sherwood Rd
Sherwood, OR 97140
Phone (503) 625-0100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1831262591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PROVIDENCE DRIVE",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-215-4323",
            "fax_number": "503-215-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16078 SW TUALATIN SHERWOOD RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408522",
            "telephone_number": "503-537-1463",
            "fax_number": "503-537-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES-OREGON NEWBERG MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227837",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Newberg Medical Center Lifeline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.