Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Clinic/Center in Portland, Oregon. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
4805 NE Glisan St Ste 6N50Portland, OR 97213-2933
Phone: (503) 215-7901
Fax: (503) 215-7904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1710292404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Asst Sec Enrollment · (425) 358-9786 |
| Other names | Providence Cancer Survivor Clinic - East; Providence Medical Group |
| NPI enumerated | August 18, 2010 |
| Last updated in NPPES | July 4, 2025 |
| Certification date | July 4, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
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