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Organization

Providence Health & Services - Oregon

May also be knows as Providence Medical Group Anticoagulation Telephone Management

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

Legal Business Name

Providence Health & Services - Oregon

Also Known As

Providence Medical Group Anticoagulation Telephone Management

NPI Number

1053727636

NPI Type

Organization

Enumeration Date

07/03/2014

Specialties

(Taxonomies)

Name

Clinic/Center

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3158
3300 SE DWYER DR

City

Portland
Milwaukie

State

OR
OR

Postal Code

97208-3158
97222-6548

Country

US
US

Telephone Number

N/A
(503) 513-8043

Authorized Official

Name

Keenan Freeman

Title or Position

CFO

Telephone Number

(503) 893-6524

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

Data last updated by provider on 07/14/2014

Provider Address

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Specialties: Clinic/Center (Primary)Family Medicine PhysicianFamily Nurse PractitionerPsychologist