1093815243 PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine Physician
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH & SERVICES - OREGON
- Enumeration Date
- September 25, 2006
- Last Update
- May 16, 2025
- Authorized Official
- DONALD W ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Practice Location
- Address
- 12442 SW SCHOLLS FERRY RD
SUITE 100
TIGARD, OR 972233396 - Phone
- (503) 216-9200
- Fax
- (503) 216-9220
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 |
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063680 | 05 | OR | N/A |
Frequently Asked Questions
What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1093815243.
Which doctor has NPI number 1093815243?
The doctor with NPI number 1093815243 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 12442 SW SCHOLLS FERRY RD, SUITE 100, TIGARD, OR, 972233396.
Which doctor practices at 12442 SW SCHOLLS FERRY RD, SUITE 100, TIGARD, OR, 972233396?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 12442 SW SCHOLLS FERRY RD, SUITE 100, TIGARD, OR, 972233396.
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) 216-9200.
Who is (503) 216-9200?
(503) 216-9200 is the phone number for PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's specialty?
PROVIDENCE HEALTH & SERVICES - OREGON's specialty is Internal Medicine Physician.
What type of doctor is PROVIDENCE HEALTH & SERVICES - OREGON?
PROVIDENCE HEALTH & SERVICES - OREGON is a Internal Medicine Physician.
Is PROVIDENCE HEALTH & SERVICES - OREGON a Internal Medicine?
Yes, PROVIDENCE HEALTH & SERVICES - OREGON is a Internal 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) 216-9200 to inquire about availability.
Is NPI 1093815243 still active?
Yes, NPI 1093815243 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in TIGARD, OR.