Providence Health & Services - Oregon

NPI #1013143478 in Sherwood, Oregon

Provider Information

NPI Number
1013143478
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Internal Medicine
Enumeration Date
May 29, 2009
Last Updated
Jun 20, 2025

Practice Location

Address
16770 SW EDY RD
Address 2
SUITE 102
State
Oregon
ZIP Code
97140-9679
Phone
(503) 216-9600

Authorized Official

Name
MR. DONALD W ANDERSON JR.
Title
ASSISTANT SECRETARY OF ENROLLMENTS
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Internal Medicine

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