PROVIDENCE HEALTH & SERVICES - OREGON

PORTLAND, OR
NPI1336311554
Doing Business AsPROVIDENCE MEDICAL GROUP
Doing Business AsPROVIDENCE NEUROLOGICAL SPECIALTIES PPMC
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollment
425-358-9786
Organization Subpart ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
Additional Taxonomies261Q00000X Clinic/Center
363LA2200X Nurse Practitioner, Adult Health
363LF0000X Nurse Practitioner, Family
Enumeration Date2008-03-27
Last Update Date2025-07-04
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
4805 NE GLISAN ST SUITE 6N50
PORTLAND, OR 97213-2933
Phone number: 503-216-1150
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone number: