Providence Health and Services Oregon
NPI #1366748550 in Vancouver, Washington
Provider Information
- NPI Number
- 1366748550
- Entity Type
- Organization
- Organization Name
- Providence Health and Services Oregon
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 4, 2011
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 315 SE STONEMILL DR STE 220
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98684-6987
- Phone
- (360) 687-6650
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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