Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Health & Services Oregon

Organization Interventional Cardiology Physician · NPI 1265743330

Providence Health & Services Oregon is an Interventional Cardiology Physician in Salem, Oregon. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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Practice location Address checks out

5050 Skyline Village Loop S
Salem, OR 97306-9490
Phone: (503) 291-2123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1265743330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst Sec Enrollment · (425) 358-9786
Other names Providence Medcial Group; Providence St Vincent Heart Clinics Cardiology Doctors Clinic Salem; Providence St Vincent Heart Clinics Cardiology Doctors Clinic Salem
NPI enumeratedJune 23, 2010
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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