PROVIDENCE HEALTH & SERVICES OREGON is a clinic center in Portland, 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 1003319724. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Medical Group.
The provider's business location address is:
5211 NE GLISAN ST BLDG C
PORTLAND, OR
ZIP 97213-052
Phone: (503) 215-6628
Fax: (503) 215-6240
The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Secretary Enrollment and has the following contact phone number (425) 525-5392.
The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.