Providence Health & Services Oregon

NPI #1245549724 in Tigard, Oregon

Provider Information

NPI Number
1245549724
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Primary Specialty
Clinic/Center
Enumeration Date
Sep 30, 2010
Last Updated
Nov 2, 2011

Practice Location

Address
18040 SW LOWER BOONES FERRY RD
Address 2
SUITE 207
City
Tigard
State
Oregon
ZIP Code
97224-7259
Phone
(503) 215-5340

Authorized Official

Name
DENNIS NOONAN
Title
ADMINISTRATION
Phone
(503) 216-4657

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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