Providence Health & Services - Oregon

NPI #1447652797 in Portland, Oregon

Provider Information

NPI Number
1447652797
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Integrative Medicine
Enumeration Date
Sep 18, 2014
Last Updated
Jun 30, 2025

Practice Location

Address
4805 NE GLISAN ST
Address 2
1ST FLOOR, NORTH TOWER
State
Oregon
ZIP Code
97213-2933
Phone
(503) 215-3219

Authorized Official

Name
DONALD WAYNE ANDERSON JR.
Title
ASSISTANT SECRETARY ENROLLMENT
Phone
(425) 525-5392

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Integrative Medicine

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