PROVIDENCE HEALTH & SERVICES - OREGON NPI 1982030656

NPI Information

PROVIDENCE HEALTH & SERVICES - OREGON is an occupational medicine clinic center in Vancouver, WA. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1982030656. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Occupational Medicine-mill Plain.

The provider's business location address is:

315 SE STONE MILL DR
SUITE 200
VANCOUVER, WA
ZIP 98684-998
Phone: (360) 836-3320
Fax: (360) 836-3325

The provider's authorized official is Donald W Anderson .
The authorized official title is Reimbursement Director-administrati and has the following contact phone number (503) 893-7295.

The CLIA number assigned to this NPI record is 50D2067566 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2013 and was last updated on 3/30/2017.

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:

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