Providence Health & Services - Oregon

NPI #1588981963 in Tigard, Oregon

Provider Information

NPI Number
1588981963
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Apr 26, 2010
Last Updated
Jun 20, 2025

Practice Location

Address
18040 SW LOWER BOONES FERRY RD
Address 2
SUITE 204
City
Tigard
State
Oregon
ZIP Code
97224-7259
Phone
(503) 216-6060

Authorized Official

Name
KEENAN B FREEMAN
Title
CFO
Phone
(503) 893-6524

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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