Providence Health & Services Oregon
Providence Health & Services Oregon is a Family Medicine Physician in Cannon Beach, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 3
Practice location Address checks out
171 N Larch St Ste 16Cannon Beach, OR 97110-3103
Phone: (503) 717-7400
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1841756764 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786 |
| Other names | Providence Seaside Hospital - Providence Cannon Beach Clinic; Providence Seaside Hospital, Providence Cannon Beach Clinic; Providence Seaside Hospital, Providence Cannon Beach Clinic |
| NPI enumerated | February 15, 2019 |
| Last updated in NPPES | April 29, 2025 |
| Certification date | April 28, 2025 |
| Mailing address | Po Box 31001-4199, Pasadena, CA 91110-4199 |