Providence Health & Services - Oregon

NPI #1255641064 in Molalla, Oregon

Provider Information

NPI Number
1255641064
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Family Medicine
Enumeration Date
Oct 14, 2010
Last Updated
Jun 20, 2025

Practice Location

Address
110 CENTER ST
State
Oregon
ZIP Code
97038-0189
Phone
(034) 053-7777

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Family Medicine

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