PROVIDENCE HEALTH & SERVICES OREGON is a rural health clinic center in Cannon Beach, OR. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1841756764. The provider is registered as an organization entity type and is a multi-specialty group. The provider .
The provider's business location address is:
171 N LARCH ST STE 16 CANNON BEACH, OR ZIP 97110-103 Phone: (503) 717-7400
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 CLIA number assigned to this NPI record is 38D0939584 - rural health clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/15/2019 and was last updated on 4/29/2025.
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:
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: 3/30/2025
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