PROVIDENCE HEALTH & SERVICES OREGON is a prosthetic orthotic supplier in Portland, OR. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1710152798. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Transitions-the Mary Clark Appearance Center.
The provider's business location address is:
4805 NE GLISAN ST
CANCER CENTER 1ST FLOOR
PORTLAND, OR
ZIP 97213-933
Phone: (503) 215-8998
Fax: (503) 215-3201
The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Corp Secretary For Enrollments and has the following contact phone number (425) 525-5392.
The enumeration date for this NPI number is 4/29/2008 and was last updated on 12/6/2018.