Providence Health & Services Oregon

NPI #1922330828 in Tigard, Oregon

Provider Information

NPI Number
1922330828
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 3, 2010
Last Updated
Jul 8, 2025

Practice Location

Address
18040 SW LOWER BOONES FERRY RD STE 104
City
Tigard
State
Oregon
ZIP Code
97224-7259
Phone
(503) 216-0625

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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