Providence Health & Services - Oregon
NPI #1790113405 in Tigard, Oregon
Provider Information
- NPI Number
- 1790113405
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Oregon
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 16, 2013
- Last Updated
- Jul 4, 2025
Practice Location
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Nurse Practitioner |
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