Providence Health & Services - Oregon
NPI #1235595299 in Ilwaco, Washington
Provider Information
- NPI Number
- 1235595299
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Oregon
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Jan 6, 2016
- Last Updated
- Jul 4, 2025
Practice Location
- Address
- 174 1ST AVE N
- City
- Ilwaco
- State
- Washington
- ZIP Code
- 98624-9137
- Phone
- (503) 717-7850
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECREATRY FOR ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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