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 1790881498. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Medical Group Gateway.
The provider's business location address is:
1321 NE 99TH AVE
SUITE 100
PORTLAND, OR
ZIP 97220-437
Phone: (503) 215-4050
Fax: (503) 215-4055
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 38D2149803 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/16/2006 and was last updated on 9/16/2020.