Providence Health & Services - Oregon

NPI #1891026647 in Oregon City, Oregon

Provider Information

NPI Number: 1891026647
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Primary Specialty: General Practice
Enumeration Date: Jan 19, 2010
Last Updated: Jul 4, 2025

Practice Location

Address: 1510 DIVISION ST
Address 2: SUITE 200
City: Oregon City
State: Oregon
ZIP Code: 97045-1599
Phone: (503) 650-6880

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
General Practice	208D00000X	Primary

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