Sisters of Providence in Oregon

NPI #1134206790 in Jacksonville, Oregon

Provider Information

NPI Number: 1134206790
Entity Type: Organization
Organization Name: Sisters of Providence in Oregon
Subpart: Yes (part of a larger organization)
Parent Organization: SISTERS OF PROVIDENCE IN OREGON
Primary Specialty: Clinic/Center
Enumeration Date: Nov 1, 2006
Last Updated: Nov 19, 2025

Practice Location

Address: 725 N 5TH ST
Address 2: SUITE 101
City: Jacksonville
State: Oregon
ZIP Code: 97530-9873
Phone: (541) 899-8686

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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