PROVIDENCE HEALTH AND SERVICES OREGON

VANCOUVER, WA
NPI1366748550
Doing Business AsPROVIDENCE MEDICAL GROUP
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollments
425-525-5392
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2011-02-04
Last Update Date2024-10-03
Business Address
PROVIDENCE HEALTH AND SERVICES OREGON
315 SE STONEMILL DR STE 220
VANCOUVER, WA 98684-6987
Phone number: 360-687-6650
Mailing Address
PROVIDENCE HEALTH AND SERVICES OREGON
P.O.BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-7291