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 1679678866. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Medical Group Southeast Family Medicine.
The provider's business location address is:
4104 SE 82ND AVE
SUITE 250
PORTLAND, OR
ZIP 97266-954
Phone: (503) 215-9850
Fax: (503) 215-9855
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 38D0924876 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 9/13/2006 and was last updated on 9/24/2020.