Providence Health & Services - Oregon
NPI #1194013144 in Battle Ground, Washington
Provider Information
- NPI Number
- 1194013144
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Oregon
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 12, 2011
- Last Updated
- Jun 20, 2025
Practice Location
- Address
- 101 NW 12TH AVE
- Address 2
- SUITE 107
- City
- Battle Ground
- State
- Washington
- ZIP Code
- 98604-9141
- Phone
- (360) 666-4480
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Physician Assistant |
| Family Medicine |
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