1164522496 PROVIDENCE HEALTH & SERVICES - OREGON
Family Medicine Physician
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH & SERVICES - OREGON
- Enumeration Date
- September 25, 2006
- Last Update
- May 16, 2025
- Authorized Official
- DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Practice Location
- Address
- 4920 N INTERSTATE AVE
PORTLAND, OR 972173653 - Phone
- (503) 215-3300
- Fax
- (503) 215-3350
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 |
|---|---|---|---|---|---|
| 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 |
|---|---|---|---|
| 022845 | 05 | OR | N/A |
Frequently Asked Questions
What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1164522496.
Which doctor has NPI number 1164522496?
The doctor with NPI number 1164522496 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 4920 N INTERSTATE AVE, PORTLAND, OR, 972173653.
Which doctor practices at 4920 N INTERSTATE AVE, PORTLAND, OR, 972173653?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 4920 N INTERSTATE AVE, PORTLAND, OR, 972173653.
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) 215-3300.
Who is (503) 215-3300?
(503) 215-3300 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) 215-3300 to inquire about availability.
Is NPI 1164522496 still active?
Yes, NPI 1164522496 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in PORTLAND, OR.