Providence Health & Services - Oregon

NPI #1023194271 in Portland, Oregon

Provider Information

NPI Number
1023194271
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty
Psychiatric Unit
Enumeration Date
Oct 31, 2006
Last Updated
May 14, 2025

Practice Location

Address
4805 NE GLISAN ST
State
Oregon
ZIP Code
97213-2933
Phone
(503) 215-4323

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital
Psychiatric Unit

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