Providence Health & Services - Oregon

NPI #1740732650 in Portland, Oregon

Provider Information

NPI Number
1740732650
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Pathology - Clinical Pathology
Enumeration Date
Oct 26, 2016
Last Updated
May 14, 2025

Practice Location

Address
4805 NE GLISAN ST
State
Oregon
ZIP Code
97213-2933
Phone
(503) 215-1111

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Emergency Medicine
Family Medicine
Internal Medicine
Radiology - Body ImagingBody Imaging
Pathology - Clinical PathologyClinical Pathology

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