PROVIDENCE HEALTH & SERVICES OREGON NPI 1649344458

NPI Information

  • NPI: 1649344458
  • Provider Name: PROVIDENCE HEALTH & SERVICES OREGON
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • Address: 727 S WAHANNA RD
    SEASIDE, OR
    ZIP 97138
  • Phone: (503) 717-7000

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NPI Details

PROVIDENCE HEALTH & SERVICES OREGON is a rural health clinic center in Seaside, OR. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1649344458. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

727 S WAHANNA RD
SEASIDE, OR
ZIP 97138
Phone: (503) 717-7000

The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary Enrollments and has the following contact phone number (425) 358-9786.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 4/29/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1039607OTHEROREGONMEDICAID CLINIC - 1500 BILLING
2000138MEDICAIDOREGON
37042567OTHEROREGONWASHINGTON MEDICAID
4C13774OTHEROREGONRAILROAD MEDICARE
5015560000OTHEROREGONREGENCE BCBSO CLINIC #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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