1649344458 PROVIDENCE HEALTH & SERVICES OREGON

Rural Health Clinic/Center

Active

Basic Information

Organization Name
PROVIDENCE HEALTH & SERVICES OREGON
Enumeration Date
November 20, 2006
Last Update
April 29, 2025
Authorized Official
DONALD W ANDERSON JR.
ASSISTANT SECRETARY ENROLLMENTS
Phone: (425) 358-9786

Practice Location

Address
727 S WAHANNA RD
SEASIDE, OR 97138
Phone
(503) 717-7000

Mailing Address

Address
PO BOX 31001-4199
PASADENA, CA 911104199
Phone
(503) 215-4323
Fax
(503) 215-0297

Specialties & Taxonomies

Specialty Code Classification License State Primary
Multi-Specialty Clinic/Center
Multi-Specialty
 261QM1300X Clinic/Center N/A N/A No
Rural Health Clinic/Center
Rural Health
 261QR1300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
039607 01 OR MEDICAID CLINIC - 1500 BILLING
000138 05 OR N/A
7042567 01 OR WASHINGTON MEDICAID
C13774 01 OR RAILROAD MEDICARE
015560000 01 OR REGENCE BCBSO CLINIC #

Frequently Asked Questions

What is PROVIDENCE HEALTH & SERVICES OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES OREGON's NPI number is 1649344458.
Which doctor has NPI number 1649344458?
The doctor with NPI number 1649344458 is PROVIDENCE HEALTH & SERVICES OREGON.
What is PROVIDENCE HEALTH & SERVICES OREGON's practice address?
PROVIDENCE HEALTH & SERVICES OREGON's practice address is 727 S WAHANNA RD, SEASIDE, OR, 97138.
Which doctor practices at 727 S WAHANNA RD, SEASIDE, OR, 97138?
PROVIDENCE HEALTH & SERVICES OREGON practices at 727 S WAHANNA RD, SEASIDE, OR, 97138.
What is PROVIDENCE HEALTH & SERVICES OREGON's mailing address?
PROVIDENCE HEALTH & SERVICES OREGON's mailing address is PO BOX 31001-4199, PASADENA, CA, 911104199.
What is PROVIDENCE HEALTH & SERVICES OREGON's phone number?
PROVIDENCE HEALTH & SERVICES OREGON's phone number is (503) 717-7000.
Who is (503) 717-7000?
(503) 717-7000 is the phone number for PROVIDENCE HEALTH & SERVICES OREGON.
What is PROVIDENCE HEALTH & SERVICES OREGON's specialty?
PROVIDENCE HEALTH & SERVICES OREGON's specialty is Rural Health Clinic/Center.
What type of doctor is PROVIDENCE HEALTH & SERVICES OREGON?
PROVIDENCE HEALTH & SERVICES OREGON is a Rural Health Clinic/Center.
Is PROVIDENCE HEALTH & SERVICES OREGON a Rural Health?
Yes, PROVIDENCE HEALTH & SERVICES OREGON is a Rural Health.
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) 717-7000 to inquire about availability.
Is NPI 1649344458 still active?
Yes, NPI 1649344458 is currently active.
Where does PROVIDENCE HEALTH & SERVICES OREGON practice?
PROVIDENCE HEALTH & SERVICES OREGON practices in SEASIDE, OR.