PROVIDENCE HEALTH & SERVICES - OREGON

HILLSBORO, OR
NPI1306174438
Doing Business AsPROVIDENCE OCCUPATIONAL MEDICINE-TANASBOURNE/BRIDGEPORT
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Reimbursement Director Administrati
425-525-5392
Organization Subpart ?No
Primary Taxonomy261QX0100X Clinic/Center, Occupational Medicine
Enumeration Date2009-12-01
Last Update Date2017-03-30
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
18610 NW CORNELL RD SUITE 204
HILLSBORO, OR 97124-9204
Phone number: 503-216-7960
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 4388
PORTLAND, OR 97208-4388
Phone number: 503-216-7960