Providence Health & Services Oregon

NPI #1326294117 in Vancouver, Washington

Provider Information

NPI Number
1326294117
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Aug 12, 2008
Last Updated
Jul 4, 2025

Practice Location

Address
315 SE STONE MILL DR
Address 2
SUITE 102
ZIP Code
98684-6987
Phone
(360) 816-2700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine
Internal Medicine
Internal Medicine - Geriatric MedicineGeriatric Medicine
Physical Therapist
Physician Assistant
Nurse Practitioner
Nurse Practitioner - FamilyFamily
Radiology - Diagnostic RadiologyDiagnostic Radiology

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