Providence Health & Services - Oregon

NPI #1396067773 in Oregon City, Oregon

Provider Information

NPI Number
1396067773
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Internal Medicine
Enumeration Date
Feb 25, 2010
Last Updated
Jun 30, 2025

Practice Location

Address
1500 DIVISION ST
State
Oregon
ZIP Code
97045-1527
Phone
(503) 216-4329

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Internal Medicine

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