Providence Health & Services - Oregon
NPI #1568793313 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1568793313
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Oregon
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 19, 2010
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 17550 PROVOST ST STE 201
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97034-5199
- Phone
- (503) 513-3350
Authorized Official
- Name
- DONALD W ANDERSON JR.
- Title
- ASSISTANT SECRETARY ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Physical Therapist |
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