PROVIDENCE HEALTH & SERVICES OREGON

PORTLAND, OR
NPI1801010004
Doing Business AsPROVIDENCE MEDICAL GROUP
Doing Business AsPROVIDENCE LIVER CANCER CLINIC
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Asst Secretary For Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
Additional Taxonomies207RI0008X Internal Medicine, Hepatology
207RX0202X Internal Medicine, Medical Oncology
208600000X Surgery
2086X0206X Surgery, Surgical Oncology
261Q00000X Clinic/Center
Enumeration Date2007-04-12
Last Update Date2025-07-04
Business Address
PROVIDENCE HEALTH & SERVICES OREGON
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213-2933
Phone number: 503-215-8650
Mailing Address
PROVIDENCE HEALTH & SERVICES OREGON
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone number: