Providence Health & Services Oregon

NPI #1831196302 in Mount Angel, Oregon

Provider Information

NPI Number
1831196302
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES OREGON
Primary Specialty
Home Health
Enumeration Date
Jun 30, 2005
Last Updated
May 16, 2025

Practice Location

Address
570 S MAIN STREET
State
Oregon
ZIP Code
97362-9540
Phone
(503) 845-9226

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Home Health

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