PROVIDENCE HEALTH & SERVICES - OREGON

PORTLAND, OR
NPI1811211220
Doing Business AsPROVIDENCE MEDICAL GROUP
Doing Business AsPROVIDENCE LIVER CANCER WEST
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
Additional Taxonomies261Q00000X Clinic/Center
363L00000X Nurse Practitioner
Enumeration Date2010-03-15
Last Update Date2025-07-04
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
9135 SW BARNES RD SUITE 261
PORTLAND, OR 97225-6784
Phone number: 503-215-8650
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone number: 503-215-6494