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 1235479643. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Medical Group Sports Care.
The provider's business location address is:
909 SW 18TH AVE
PORTLAND, OR
ZIP 97205-705
Phone: (503) 962-1946
Fax: (503) 962-1925
The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Sec For Enrollment/dir Reimb and has the following contact phone number (425) 276-3215.
The enumeration date for this NPI number is 2/21/2013 and was last updated on 8/20/2021.