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Organization

Providence Health & Services - Oregon

May also be knows as Providence Medical Group Milwaukie

Clinic/Center in Milwaukie, OR(View on Map)

Legal Business Name

Providence Health & Services - Oregon

Also Known As

Providence Medical Group Milwaukie

NPI Number

1013086875

NPI Type

Organization

Enumeration Date

11/07/2006

Specialties

(Taxonomies)

Name

Clinic/Center

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3158
10330 SE 32ND AVE

City

Portland
Milwaukie

State

OR
OR

Postal Code

97208-3158
97222-6596

Country

US
US

Telephone Number

(503) 215-6494
(503) 513-1800

Authorized Official

Name

Mr. Donald Anderson

Title or Position

DIR REIMB REG STRAT/ASST SEC ENROLL

Telephone Number

(425) 525-5392

Identifiers

Identifier

022826

Identifier State

OR

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/15/2020

Provider Address

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