Providence Health & Services - Oregon

NPI #1093135535 in Tigard, Oregon

Provider Information

NPI Number: 1093135535
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Pediatrics
Enumeration Date: Apr 23, 2014
Last Updated: Jun 20, 2025

Practice Location

Address: 12442 SW SCHOLLS FERRY RD
Address 2: SUITE 205
City: Tigard
State: Oregon
ZIP Code: 97223-0804
Phone: (503) 216-9140

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
Pediatrics	208000000X	Primary

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