1184729329 PROVIDENCE HEALTH & SERVICES - OREGON

Internal Medicine Physician

Active

Basic Information

Organization Name
PROVIDENCE HEALTH & SERVICES - OREGON
Enumeration Date
September 13, 2006
Last Update
May 16, 2025
Authorized Official
DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786

Practice Location

Address
16770 SW EDY RD
SUITE 102
SHERWOOD, OR 971409679
Phone
(503) 216-9600
Fax
(503) 216-9650

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
Child & Adolescent Psychiatry Physician
Child & Adolescent Psychiatry
2084P0804X Psychiatry & Neurology N/A N/A No
Geriatric Psychiatry Physician
Geriatric Psychiatry
2084P0805X Psychiatry & Neurology 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 No
Pediatrics Physician
208000000X Pediatrics N/A N/A No
Internal Medicine Physician
207R00000X Internal Medicine N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
022851 05 OR N/A
500400324 05 OR N/A

Frequently Asked Questions

What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1184729329.
Which doctor has NPI number 1184729329?
The doctor with NPI number 1184729329 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 16770 SW EDY RD, SUITE 102, SHERWOOD, OR, 971409679.
Which doctor practices at 16770 SW EDY RD, SUITE 102, SHERWOOD, OR, 971409679?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 16770 SW EDY RD, SUITE 102, SHERWOOD, OR, 971409679.
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) 216-9600.
Who is (503) 216-9600?
(503) 216-9600 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) 216-9600 to inquire about availability.
Is NPI 1184729329 still active?
Yes, NPI 1184729329 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in SHERWOOD, OR.