Providence Health & Services - Oregon

NPI #1629146121 in Newberg, Oregon

Provider Information

NPI Number: 1629146121
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty: Surgery
Enumeration Date: Dec 1, 2006
Last Updated: Jul 4, 2025

Practice Location

Address: 310 VILLA RD
Address 2: SUITE 104
City: Newberg
State: Oregon
ZIP Code: 97132-1886
Phone: (503) 537-1508

Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title: ASSISTANT SECREATRY FOR ENROLLMENT
Phone: (425) 358-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X
Surgery	208600000X	Primary

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