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Providence Health & Services - Oregon
Clinic/Center in Gresham, Oregon
NPI 1053419218

Providence Health & Services - Oregon is a Clinic/Center based in Portland, OR. Providence Health & Services - Oregon practices in Gresham, OR. The NPI Number for Providence Health & Services - Oregon is 1053419218 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 440 Nw Division St, Gresham, OR and can be reached out via phone at 503-215-9500 and via fax at 503-215-9525. You can also correspond with Providence Health & Services - Oregon through the mailing address at PO BOX 3158, PORTLAND, OR - 97208-3158 (mailing address contact number: 503-215-6494).

Location: 440 Nw Division St, Gresham, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053419218
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
440 Nw Division St, Gresham, OR, 97208-3158
Phone Number
503-215-9500
Fax Number
503-215-9525
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
287333 05 OR
institution
Provider Business Practice Location Address Details
Address
440 Nw Division St
City
Gresham
State
Oregon
Zip
97030-5506
Phone Number
503-215-9500
Fax Number
503-215-9525
person
Provider Business Mailing Address Details
Address
Po Box 3158
City
Portland
State
Oregon
Zip
97208-3158
Phone Number
503-215-6494
Fax Number
503-215-6644
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
207RE0101X
License No.
()
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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