Providence Health & Services Oregon

NPI #1518425693 in Corvallis, Oregon

Provider Information

NPI Number
1518425693
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 7, 2019
Last Updated
May 15, 2025

Practice Location

Address
2296 NW KINGS BLVD STE 101
State
Oregon
ZIP Code
97330-3871
Phone
(503) 215-4663

Authorized Official

Name
DONALD WAYNE ANDERSON JR.
Title
ASSISTANT SECRETARY OF ENROLLMENTS
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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Provider Name
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