PROVIDENCE HEALTH & SERVICES - OREGON NPI 1306174438

NPI Information

PROVIDENCE HEALTH & SERVICES - OREGON is an occupational medicine clinic center in Hillsboro, OR. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1306174438. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Occupational Medicine-tanasbourne/bridgeport.

The provider's business location address is:

18610 NW CORNELL RD
SUITE 204
HILLSBORO, OR
ZIP 97124-204
Phone: (503) 216-7960
Fax: (503) 216-0211

The provider's authorized official is Donald W Anderson .
The authorized official title is Reimbursement Director-administrati and has the following contact phone number (425) 525-5392.

The CLIA number assigned to this NPI record is 38D0972454 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 3/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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