Providence Health & Services - Oregon

NPI #1184977233 in Canby, Oregon

Provider Information

NPI Number: 1184977233
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Family Medicine
Enumeration Date: Oct 25, 2012
Last Updated: Jun 20, 2025

Practice Location

Address: 200 S HAZEL DELL WAY
City: Canby
State: Oregon
ZIP Code: 97013-7829
Phone: (503) 263-9500

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
Family Medicine	207Q00000X	Primary

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