Providence Health & Services Oregon

NPI #1558435362 in Seaside, Oregon

Provider Information

NPI Number
1558435362
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES OREGON
Primary Specialty
Medicare Defined Swing Bed Unit
Enumeration Date
Nov 20, 2006
Last Updated
Apr 29, 2025

Practice Location

Address
725 S WAHANNA RD
State
Oregon
ZIP Code
97138-7735
Phone
(503) 717-7000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Medicare Defined Swing Bed Unit

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