Providence Health & Services - Oregon

NPI #1841452521 in Tigard, Oregon

Provider Information

NPI Number: 1841452521
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: Family Medicine
Enumeration Date: Jun 25, 2008
Last Updated: Jul 4, 2025

Practice Location

Address: 18040 SW LOWER BOONES FERRY RD
Address 2: SUITE 100
City: Tigard
State: Oregon
ZIP Code: 97224-7215
Phone: (503) 216-0700

Authorized Official

Name: DONALD W ANDERSON JR.
Title: ASSISTANT SECRETARY ENROLLMENT
Phone: (425) 525-5392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Clinic/Center	261Q00000X
Family Medicine	207Q00000X	Primary

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