Providence Health & Services - Oregon

NPI #1053727636 in Milwaukie, Oregon

Provider Information

NPI Number
1053727636
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Internal Medicine - Hematology
Enumeration Date
Jul 3, 2014
Last Updated
Jun 20, 2025

Practice Location

Address
3300 SE DWYER DR
Address 2
SUITE 304
State
Oregon
ZIP Code
97222-6548
Phone
(503) 513-8043

Authorized Official

Name
DONALD WAYNE ANDERSON JR.
Title
ASSISTANT SECRETARY ENROLLMENT
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Internal Medicine - HematologyHematology

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