PROVIDENCE HEALTH & SERVICES OREGON is an end-stage renal disease (esrd) treatment clinic center in Portland, OR. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1396818993. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Portland Medical Center.
The provider's business location address is:
4805 NE GLISAN ST
PORTLAND, OR
ZIP 97213-933
Phone: (503) 215-4323
Fax: (503) 215-0297
The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Sec For Enrollment/dir Reimb S and has the following contact phone number (425) 525-5392.
The enumeration date for this NPI number is 11/15/2006 and was last updated on 5/23/2022.