Providence Health & Services Oregon
NPI #1023488343 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1023488343
- Entity Type
- Organization
- Organization Name
- Providence Health & Services Oregon
- Primary Specialty
- General Practice
- Enumeration Date
- Sep 29, 2015
- Last Updated
- Jun 20, 2025
Practice Location
- Address
- 4823 MEADOWS RD
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-2529
- Phone
- (503) 216-1580
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASST SECRETARY FOR ENROLLMENT
- Phone
- (425) 525-5392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| General Practice |
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