Providence Health & Services Oregon

NPI #1669896270 in Seaside, Oregon

Provider Information

NPI Number
1669896270
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 18, 2014
Last Updated
Apr 29, 2025

Practice Location

Address
725 S WAHANNA RD
State
Oregon
ZIP Code
97138-7735
Phone
(503) 717-7380

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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