1124129903 PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine Physician

Active

Basic Information

Organization Name
PROVIDENCE HEALTH & SERVICES - OREGON
Enumeration Date
September 26, 2006
Last Update
May 16, 2025
Authorized Official
DONALD W ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786

Practice Location

Address
1321 NE 99TH AVE
SUITE 200
PORTLAND, OR 972209439
Phone
(503) 215-4250
Fax
(503) 215-4255

Mailing Address

Address
PO BOX 3158
PORTLAND, OR 972083158
Phone
(503) 215-6446
Fax
(503) 215-6644

Specialties & Taxonomies

Specialty Code Classification License State Primary
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
022844 05 OR N/A

Frequently Asked Questions

What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1124129903.
Which doctor has NPI number 1124129903?
The doctor with NPI number 1124129903 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 1321 NE 99TH AVE, SUITE 200, PORTLAND, OR, 972209439.
Which doctor practices at 1321 NE 99TH AVE, SUITE 200, PORTLAND, OR, 972209439?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 1321 NE 99TH AVE, SUITE 200, PORTLAND, OR, 972209439.
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) 215-4250.
Who is (503) 215-4250?
(503) 215-4250 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) 215-4250 to inquire about availability.
Is NPI 1124129903 still active?
Yes, NPI 1124129903 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in PORTLAND, OR.