Providence Health & Services Oregon
May also be knows as Providence Medical Group
Clinic/Center in Portland, OR(View on Map)
Legal Business Name
Providence Health & Services Oregon
Also Known As
Providence Medical Group
NPI Number
1164623401
NPI Type
Organization
Enumeration Date
05/31/2007
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 3158
4400 NE HALSEY ST
City
Portland
Portland
State
OR
OR
Postal Code
97208-3158
97213-1545
Country
US
US
Telephone Number
N/A
(503) 893-6524
Authorized Official
Name
Donald Anderson
Title or Position
ASST CORP SEC FOR ENROLLMENTS
Telephone Number
(425) 525-5392
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/14/2022
Provider Address
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