Providence Health & Services Oregon

NPI #1649541020 in White Salmon, Washington

Provider Information

NPI Number
1649541020
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Primary Specialty
Internal Medicine
Enumeration Date
Jan 18, 2012
Last Updated
Jun 30, 2025

Practice Location

Address
65371 HIGHWAY 14
ZIP Code
98672-8690
Phone
(503) 216-0790

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Internal Medicine

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