Providence Health & Services - Oregon

NPI #1336223171 in Portland, Oregon

Provider Information

NPI Number
1336223171
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Oct 25, 2006
Last Updated
May 16, 2025

Practice Location

Address
6410 NE HALSEY ST
Address 2
SUITE 400
State
Oregon
ZIP Code
97213-4742
Phone
(503) 215-4633

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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