PROVIDENCE HEALTH & SERVICES - OREGON

PORTLAND, OR
NPI1790881498
Doing Business AsPROVIDENCE MEDICAL GROUP
Doing Business AsPROVIDENCE MEDICAL GROUP GATEWAY
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Assistant Secretary For Enrollment
425-358-9786
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2006-09-16
Last Update Date2025-07-04
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
1321 NE 99TH AVE SUITE 100
PORTLAND, OR 97220-9437
Phone number: 503-215-4050
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone number: 503-215-6494