1053419218 PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine Physician

Active

Basic Information

Organization Name
PROVIDENCE HEALTH & SERVICES - OREGON
Enumeration Date
September 20, 2006
Last Update
June 19, 2024
Authorized Official
MR. DONALD W ANDERSON JR.
ASST SEC ENROLL
Phone: (425) 525-5392

Practice Location

Address
440 NW DIVISION ST
GRESHAM, OR 970305506
Phone
(503) 215-9500
Fax
(503) 215-9525

Mailing Address

Address
PO BOX 3158
PORTLAND, OR 972083158
Phone
(503) 215-6494
Fax
(503) 215-6644

Specialties & Taxonomies

Specialty Code Classification License State Primary
Endocrinology, Diabetes & Metabolism Physician
Endocrinology, Diabetes & Metabolism
 207RE0101X Internal Medicine N/A N/A No
Clinic/Center
 261Q00000X Clinic/Center N/A N/A No
Family Medicine Physician
 207Q00000X Family Medicine N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
287333 05 OR N/A

Additional Practice Locations

5211 NE Glisan St Bldg C
Portland, OR 972133052

Phone: (503) 215-6601

Frequently Asked Questions

What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1053419218.
Which doctor has NPI number 1053419218?
The doctor with NPI number 1053419218 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 440 NW DIVISION ST, GRESHAM, OR, 970305506.
Which doctor practices at 440 NW DIVISION ST, GRESHAM, OR, 970305506?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 440 NW DIVISION ST, GRESHAM, OR, 970305506.
What is PROVIDENCE HEALTH & SERVICES - OREGON's mailing address?
PROVIDENCE HEALTH & SERVICES - OREGON's mailing address is PO BOX 3158, PORTLAND, OR, 972083158.
What is PROVIDENCE HEALTH & SERVICES - OREGON's phone number?
PROVIDENCE HEALTH & SERVICES - OREGON's phone number is (503) 215-9500.
Who is (503) 215-9500?
(503) 215-9500 is the phone number for PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's specialty?
PROVIDENCE HEALTH & SERVICES - OREGON's specialty is Family Medicine Physician.
What type of doctor is PROVIDENCE HEALTH & SERVICES - OREGON?
PROVIDENCE HEALTH & SERVICES - OREGON is a Family Medicine Physician.
Is PROVIDENCE HEALTH & SERVICES - OREGON a Family Medicine?
Yes, PROVIDENCE HEALTH & SERVICES - OREGON is a Family Medicine.
Is PROVIDENCE HEALTH & SERVICES - OREGON still practicing?
Yes, PROVIDENCE HEALTH & SERVICES - OREGON is currently practicing.
Is PROVIDENCE HEALTH & SERVICES - OREGON accepting new patients?
PROVIDENCE HEALTH & SERVICES - OREGON may be accepting new patients. Please call their office at (503) 215-9500 to inquire about availability.
Is NPI 1053419218 still active?
Yes, NPI 1053419218 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in GRESHAM, OR.