Providence Health & Services - Oregon

NPI #1801193339 in Portland, Oregon

Provider Information

NPI Number
1801193339
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Internal Medicine - Medical Oncology
Enumeration Date
Feb 18, 2011
Last Updated
Jul 4, 2025

Practice Location

Address
4805 NE GLISAN ST
Address 2
STE 6N50
State
Oregon
ZIP Code
97213-2933
Phone
(503) 215-1351

Authorized Official

Name
DONALD W ANDERSON JR.
Title
ASST SEC FOR ENROLLMENT
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Nurse Practitioner
Internal Medicine - Medical OncologyMedical Oncology

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