Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Cardiovascular Disease Physician in Ilwaco, Washington. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
174 1st Ave NIlwaco, WA 98624-9137
Phone: (503) 717-7850
Fax: (503) 216-0775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cardiovascular Disease Physician (primary) | Taxonomy 207RC0000X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1235595299 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secreatry For Enrollment · (425) 358-9786 |
| Other names | Providence Medical Group; Providence St Vincent Heart Care Clinic Ilwaco |
| NPI enumerated | January 6, 2016 |
| Last updated in NPPES | July 4, 2025 |
| Certification date | July 4, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |