PROVIDENCE HEALTH & SERVICES - OREGON

PORTLAND, OR
NPI1164522496
Doing Business AsPROVIDENCE MEDICAL GROUP
Doing Business AsPROVIDENCE MEDICAL GROUP NORTH PORTLAND FAMILY & COMMUNITY MEDICINE
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollments
425-525-5392
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2006-09-25
Last Update Date2024-10-22
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
4920 N INTERSTATE AVE
PORTLAND, OR 97217-3653
Phone number: 503-215-3300
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494