PROVIDENCE HEALTH & SERVICES - OREGON is a clinic center in Tigard, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1093135535. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Providence Medical Group Scholls Pediatrics.
The provider's business location address is:
12442 SW SCHOLLS FERRY RD
SUITE 205
TIGARD, OR
ZIP 97223-804
Phone: (503) 216-9140
The provider's authorized official is Donald W Anderson .
The authorized official title is Dir Reimb Reg Strat/asst Sec Enroll and has the following contact phone number (425) 525-5392.
The CLIA number assigned to this NPI record is 38D2165530 - other - immediate care with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/23/2014 and was last updated on 1/13/2021.