PROVIDENCE HEALTH & SERVICES OREGON

PORTLAND, OR
NPI1114244597
Doing Business AsPROVIDENCE MEDICAL GROUP
Doing Business AsPROVIDENCE ST VINCENT HEART CLINICS CARDIOLOGY
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Additional Taxonomies261Q00000X Clinic/Center
363A00000X Physician Assistant
363AM0700X Physician Assistant, Medical
363L00000X Nurse Practitioner
363LF0000X Nurse Practitioner, Family
Enumeration Date2010-04-26
Last Update Date2025-06-20
Business Address
PROVIDENCE HEALTH & SERVICES OREGON
9427 SW BARNES RD STE 495
PORTLAND, OR 97225-6652
Phone number: 503-216-0900
Mailing Address
PROVIDENCE HEALTH & SERVICES OREGON
PO BOX 31001-4180
PASADENA, CA 91110-4180
Phone number: