Providence Health & Services Oregon

NPI #1972039170 in Warrenton, Oregon

Provider Information

NPI Number
1972039170
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
May 8, 2017
Last Updated
May 21, 2025

Practice Location

Address
113 S HIGHWAY 101
State
Oregon
ZIP Code
97146-9314
Phone
(503) 861-6500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - Rural HealthRural Health

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