Providence Health & Services Oregon

NPI #1205924313 in Portland, Oregon

Provider Information

NPI Number
1205924313
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Oct 11, 2006
Last Updated
May 16, 2025

Practice Location

Address
6410 NE HALSEY ST
Address 2
SUITE 300
State
Oregon
ZIP Code
97213-4742
Phone
(503) 215-2273

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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