Providence Health & Services

NPI #1780742114 in Newberg, Oregon

Provider Information

NPI Number
1780742114
Entity Type
Organization
Organization Name
Providence Health & Services
Primary Specialty
Internal Medicine
Enumeration Date
Dec 5, 2006
Last Updated
Jul 4, 2025

Practice Location

Address
1515 PORTLAND RD
State
Oregon
ZIP Code
97132-1844
Phone
(503) 537-1818

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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