Providence Health & Services - Oregon

NPI #1992882500 in Phoenix, Oregon

Provider Information

NPI Number: 1992882500
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty: Clinic/Center
Enumeration Date: Nov 1, 2006
Last Updated: Nov 19, 2025

Practice Location

Address: 205 N PHOENIX RD
Address 2: SUITE A
City: Phoenix
State: Oregon
ZIP Code: 97535-9104
Phone: (541) 732-5760

Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title: ASST SECRETARY FOR ENROLLMENT
Phone: (425) 525-5392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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