Providence Health & Services - Oregon

NPI #1508015348 in Happy Valley, Oregon

Provider Information

NPI Number
1508015348
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Family Medicine
Enumeration Date
Sep 17, 2008
Last Updated
Jun 30, 2025

Practice Location

Address
16180 SE SUNNYSIDE ROAD
Address 2
SUITE 102
State
Oregon
ZIP Code
97015-6302
Phone
(503) 582-4900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Family Medicine

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