Providence Health & Services - Oregon

NPI #1285201798 in Lacey, Washington

Provider Information

NPI Number
1285201798
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jun 4, 2021
Last Updated
May 15, 2025

Practice Location

Address
8605 COMMERCE PLACE DR NE STE A
City
Lacey
ZIP Code
98516-3813
Phone
(503) 215-4333

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & SuppliesOxygen Equipment & Supplies
Durable Medical Equipment & Medical Supplies

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