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 1164522496. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Medical Group North Portland Family & Community Medicine.
The provider's business location address is:
4920 N INTERSTATE AVE
PORTLAND, OR
ZIP 97217-653
Phone: (503) 215-3300
Fax: (503) 215-3350
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 38D0882217 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/25/2006 and was last updated on 9/24/2020.