Providence Health & Services Oregon
Providence Health & Services Oregon is a Prosthetic/Orthotic Supplier in Portland, Oregon. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
4805 NE Glisan St Cancer Center 1st FlPortland, OR 97213-2933
Phone: (503) 215-8998
Fax: (503) 215-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1710152798 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Health & Services Oregon |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Providence Transitions-The Mary Clark Appearance Center; Providence Transitions-The Mary Clark Appearance Center |
| NPI enumerated | April 29, 2008 |
| Last updated in NPPES | May 16, 2025 |
| Certification date | May 16, 2025 |
| Mailing address | Po Box 5936 A, Portland, OR 97228-5936 |
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