Providence Health & Services - Oregon

NPI #1750459327 in Newberg, Oregon

Provider Information

NPI Number
1750459327
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty
Family Medicine
Enumeration Date
Dec 1, 2006
Last Updated
Jul 4, 2025

Practice Location

Address
308 VILLA RD
Address 2
SUITE 114
State
Oregon
ZIP Code
97132-1881
Phone
(503) 537-1850

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Nurse Practitioner - Adult HealthAdult Health
Nurse Practitioner - FamilyFamily
Family Medicine

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