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 1073604955. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Medical Group Gateway Immediate Care.
The provider's business location address is:
1321 NE 99TH AVE
SUITE 100
PORTLAND, OR
ZIP 97220-437
Phone: (503) 215-9900
Fax: (503) 215-4055
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 38D0706836 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/27/2006 and was last updated on 9/24/2020.