Providence Health & Services - Oregon
NPI #1205937273 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1205937273
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Oregon
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Jul 4, 2025
Practice Location
- Address
- 4004 KRUSE WAY PL STE 300
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-2479
- Phone
- (503) 216-1500
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECREATRY FOR ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Clinic/Center |
| Family Medicine |
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