PROVIDENCE HEALTH & SERVICES - OREGON

PORTLAND, OR
NPI1710307715
Doing Business AsPROVIDENCE HEALTH EXPRESS AT GATEWAY
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollment
425-358-9786
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2014-04-17
Last Update Date2025-07-04
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
1321 NE 99TH AVE SUITE 110A
PORTLAND, OR 97220-9436
Phone number: 855-229-6460
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: