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 1104246008. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Health Express At Bridgeport.
The provider's business location address is:
18040 SW LOWER BOONES FERRY RD
SUITE 104
PORTLAND, OR
ZIP 97224-259
Phone: (855) 229-6490
The provider's authorized official is Keenan B Freeman .
The authorized official title is Cfo and has the following contact phone number (503) 893-6524.
The CLIA number assigned to this NPI record is 38D2157224 - other - immediate care with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/18/2014 and was last updated on 4/18/2014.