PROVIDENCE HEALTH & SERVICES - OREGON NPI 1659451086

NPI Information

PROVIDENCE HEALTH & SERVICES - OREGON is a pediatric surgery surgery in Portland, OR. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1659451086. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Pediatric Specialties Iii.

The provider's business location address is:

1321 NE 99TH AVE
SUITE 200
PORTLAND, OR
ZIP 97220-436
Phone: (503) 216-8654
Fax: (503) 216-8658

The provider's authorized official is Mitchell Neyhart .
The authorized official title is Cfo and has the following contact phone number (503) 574-9840.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 4/20/2010.

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:

Other Identifiers

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