Providence Health & Services - Oregon

NPI #1073604955 in Portland, Oregon

Provider Information

NPI Number: 1073604955
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Internal Medicine
Enumeration Date: Sep 27, 2006
Last Updated: Jun 20, 2025

Practice Location

Address: 1321 NE 99TH AVE
Address 2: SUITE 100
City: Portland
State: Oregon
ZIP Code: 97220-9437
Phone: (503) 215-9900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Internal Medicine	207R00000X	Primary

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