Sisters of Providence in Oregon

NPI #1881770808 in Shady Cove, Oregon

Provider Information

NPI Number
1881770808
Entity Type
Organization
Organization Name
Sisters of Providence in Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
SISTERS OF PROVIDENCE IN OREGON
Primary Specialty
Clinic/Center
Enumeration Date
Oct 31, 2006
Last Updated
Nov 19, 2025

Practice Location

Address
25 ERICKSON AVENUE
State
Oregon
ZIP Code
97539
Phone
(541) 878-3730

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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