Providence Health & Services Oregon
NPI #1417978164 in Mount Angel, Oregon
Provider Information
- NPI Number
- 1417978164
- Entity Type
- Organization
- Organization Name
- Providence Health & Services Oregon
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 21, 2006
- Last Updated
- May 15, 2025
Practice Location
- Address
- 540 S MAIN ST
- City
- Mount Angel
- State
- Oregon
- ZIP Code
- 97362-9540
- Phone
- (503) 845-6841
Authorized Official
- Name
- DONALD W ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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