institution
Providence Health System Oregon
Multi-Specialty Clinic/Center in Portland, Oregon
NPI 1023098118

Providence Health System Oregon is a Multi-Specialty Clinic/Center based in Portland, OR and is specialized in Multi-Specialty. Providence Health System Oregon practices in Portland, OR. The NPI Number for Providence Health System Oregon is 1023098118 and holds a License No. (Oregon).

The current practice location address for Providence Health System Oregon is 4540 Ne Glisan St, Portland, OR and can be reached out via phone at 503-215-3738 and via fax at 503-215-6942.

Location: 4540 Ne Glisan St, Portland, OR, 97230-2545
institution
Provider Profile Details
NPI Number
1023098118
Provider Name
Providence Health System Oregon
Credential
Provider Entity Type
Organization
Address
4540 Ne Glisan St, Portland, OR, 97230-2545
Phone Number
503-215-3738
Fax Number
503-215-6942
Provider Enumeration Date
01/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005673 05 OR
institution
Provider Business Practice Location Address Details
Address
4540 Ne Glisan St
City
State
Zip
97213-2333
Phone Number
503-215-3738
Fax Number
503-215-6942
person
Provider Business Mailing Address Details
Address
4540 Ne Glisan St
City
State
Zip
97213-2333
Phone Number
503-215-3738
Fax Number
503-215-6942
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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