Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Cardiovascular Disease Physician in Tigard, Oregon. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
18040 SW Lowr Boones Ferry RD Ste 204Tigard, OR 97224-7259
Phone: (503) 216-1661
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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 | 1588981963 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Ass Secretary Enrollment · (425) 358-9786 |
| Other names | Providence Medical Group; Providence St Vincent Heart Clinics Cardiology Bridgeport |
| NPI enumerated | April 26, 2010 |
| Last updated in NPPES | March 23, 2026 |
| Certification date | March 23, 2026 |
| Mailing address | Po Box 31001-4180, Pasadena, CA 91110-4180 |