Providence Health & Services - Oregon
NPI #1669765244 in Vancouver, Washington
Provider Information
- NPI Number
- 1669765244
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Oregon
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 16, 2011
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 3101 SE 192ND AVE
- Address 2
- SUITE 106
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98683-1443
- Phone
- (360) 553-7400
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Family Medicine |
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