Providence Health & Services - Oregon

NPI #1891822995 in Portland, Oregon

Provider Information

NPI Number: 1891822995
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE PORTLAND MEDICAL CENTER
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Feb 27, 2007
Last Updated: May 7, 2025

Practice Location

Address: 2705 E BURNSIDE ST
Address 2: SUITE 114
City: Portland
State: Oregon
ZIP Code: 97214-1763
Phone: (503) 215-6262

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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