Providence Health & Services - Oregon

NPI #1336459460 in Springfield, Oregon

Provider Information

NPI Number
1336459460
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Clinic/Center
Enumeration Date
Oct 7, 2010
Last Updated
Jun 30, 2025

Practice Location

Address
960 N 16TH ST
Address 2
SUITE 304
State
Oregon
ZIP Code
97477-4175
Phone
(541) 744-6172

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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