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Providence Health & Services - Oregon
Clinic/Center in Portland, Oregon
NPI 1164522496

Providence Health & Services - Oregon is a Clinic/Center based in Portland, OR. Providence Health & Services - Oregon practices in Portland, OR. The NPI Number for Providence Health & Services - Oregon is 1164522496 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 4920 N Interstate Ave, Portland, OR and can be reached out via phone at 503-215-3300 and via fax at 503-215-3350.

Location: 4920 N Interstate Ave, Portland, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164522496
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
4920 N Interstate Ave, Portland, OR, 97208-3158
Phone Number
503-215-3300
Fax Number
503-215-3350
Provider Enumeration Date
09/25/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022845 05 OR
institution
Provider Business Practice Location Address Details
Address
4920 N Interstate Ave
City
Portland
State
Oregon
Zip
97217-3653
Phone Number
503-215-3300
Fax Number
503-215-3350
person
Provider Business Mailing Address Details
Address
4920 N Interstate Ave
City
Portland
State
Oregon
Zip
97217-3653
Phone Number
503-215-3300
Fax Number
503-215-3350
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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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