Providence Health & Services - Oregon

NPI #1083963573 in The Dalles, Oregon

Provider Information

NPI Number: 1083963573
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Otolaryngology
Enumeration Date: Aug 30, 2012
Last Updated: Jun 20, 2025

Practice Location

Address: 1815 E 19TH ST
Address 2: SUITE 1
City: The Dalles
State: Oregon
ZIP Code: 97058-3385
Phone: (541) 298-5563

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
Otolaryngology	207Y00000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. Charles R Ford, MD	Otolaryngology	The Dalles	AI Deep Dive
DR. David Fink Pfendler, MD	Otolaryngology	Mcminnville	AI Deep Dive
DR. John Donovan, MD	Otolaryngology	Salem	AI Deep Dive
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Organizations

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Columbia Gorge Ent, LLC	Otolaryngology	The Dalles	AI Deep Dive

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