Providence Health & Services - Oregon

NPI #1194996991 in Bend, Oregon

Provider Information

NPI Number: 1194996991
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Pediatrics
Enumeration Date: Mar 19, 2008
Last Updated: Jul 4, 2025

Practice Location

Address: 2200 NE PROFESSIONAL CT
City: Bend
State: Oregon
ZIP Code: 97701-6063
Phone: (541) 389-6313

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Pediatrics	208000000X	Primary

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