Providence Health & Services - Oregon

NPI #1538546395 in Vancouver, Washington

Provider Information

NPI Number: 1538546395
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Internal Medicine
Enumeration Date: Apr 30, 2015
Last Updated: Jun 30, 2025

Practice Location

Address: 700 WASHINGTON ST
Address 2: SUITE 105
City: Vancouver
State: Washington
ZIP Code: 98660-3181
Phone: (503) 717-7147

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Clinic/Center	261Q00000X
Internal Medicine	207R00000X	Primary

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