Providence Health & Services - Oregon

NPI #1114085545 in Newberg, Oregon

Provider Information

NPI Number: 1114085545
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Internal Medicine
Enumeration Date: Dec 5, 2006
Last Updated: Jun 20, 2025

Practice Location

Address: 1314 E SHERMAN ST
City: Newberg
State: Oregon
ZIP Code: 97132-1842
Phone: (503) 537-1623

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Neurological Surgery	207T00000X
Otolaryngology	207Y00000X
Internal Medicine	207R00000X	Primary

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