PROVIDENCE HEALTH & SERVICES- OREGON

PORTLAND, OR
NPI1609274133
Doing Business AsPROVIDENCE MEDICAL GROUP
Doing Business AsPROVIDENCE GORGE SPINE AND SPORTS MEDICINE
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies2251S0007X Physical Therapist, Sports
225X00000X Occupational Therapist
235Z00000X Speech-Language Pathologist,
Enumeration Date2014-12-16
Last Update Date2025-06-20
Business Address
PROVIDENCE HEALTH & SERVICES- OREGON
4400 NE HALSEY ST BLDG 2
PORTLAND, OR 97213-1545
Phone number: 425-528-0543
Mailing Address
PROVIDENCE HEALTH & SERVICES- OREGON
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone number: