PROVIDENCE HEALTH & SERVICES OREGON NPI 1235534116

NPI Information

PROVIDENCE HEALTH & SERVICES OREGON is an obstetrics gynecology in Portland, OR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1235534116. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Ob Hospitalists Psvmc.

The provider's business location address is:

9205 SW BARNES RD
3RD FLOOR MATERNITY - MT 3401
PORTLAND, OR
ZIP 97225-603
Phone: (503) 216-3388
Fax: (503) 216-7400

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Corp Secretary For Enrollments and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 11/4/2014 and was last updated on 5/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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