1205937273 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 SECREATRY FOR ENROLLMENT
Phone: (425) 358-9786

Practice Location

Address
4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 970352479
Phone
(503) 216-1500

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
Physical Therapist
225100000X Physical Therapist 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
241291 05 OR N/A

Frequently Asked Questions

What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1205937273.
Which doctor has NPI number 1205937273?
The doctor with NPI number 1205937273 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 4004 KRUSE WAY PL STE 300, LAKE OSWEGO, OR, 970352479.
Which doctor practices at 4004 KRUSE WAY PL STE 300, LAKE OSWEGO, OR, 970352479?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 4004 KRUSE WAY PL STE 300, LAKE OSWEGO, OR, 970352479.
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) 216-1500.
Who is (503) 216-1500?
(503) 216-1500 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) 216-1500 to inquire about availability.
Is NPI 1205937273 still active?
Yes, NPI 1205937273 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in LAKE OSWEGO, OR.