Providence Health & Services Oregon

NPI #1821224957 in Tigard, Oregon

Provider Information

NPI Number: 1821224957
Entity Type: Organization
Organization Name: Providence Health & Services Oregon
Primary Specialty: Internal Medicine
Enumeration Date: Jun 3, 2009
Last Updated: Jul 4, 2025

Practice Location

Address: 18040 SW LOWER BOONES FERRY RD
Address 2: SUITE 100
City: Tigard
State: Oregon
ZIP Code: 97224
Phone: (503) 216-0700

Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title: ASST SECRETARY FOR ENROLLMENTS
Phone: (425) 358-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Internal Medicine	207R00000X	Primary

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