PROVIDENCE HEALTH & SERVICES OREGON

PORTLAND, OR
NPI1447371117
Doing Business AsPROVIDENCE MEDICAL GROUP
Doing Business AsPROVIDENCE MEDICAL GROUP THE PLAZA
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Assistant Secretary Enrollment
425-358-9786
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
261Q00000X Clinic/Center
Enumeration Date2007-04-02
Last Update Date2025-07-04
Business Address
PROVIDENCE HEALTH & SERVICES OREGON
5050 NE HOYT ST SUITE 454
PORTLAND, OR 97213
Phone number: 503-215-6405
Mailing Address
PROVIDENCE HEALTH & SERVICES OREGON
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone number: