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Providence Health & Services - Oregon
Clinic/Center in Ilwaco, Washington
NPI 1235595299

Providence Health & Services - Oregon is a Clinic/Center based in Portland, WA. Providence Health & Services - Oregon practices in Ilwaco, WA. The NPI Number for Providence Health & Services - Oregon is 1235595299 and holds a License No. (Washington).

The current practice location address for Providence Health & Services - Oregon is 174 1St Ave N, Ilwaco, WA and can be reached out via phone at 503-717-7850 and via fax at 503-216-0775.

Location: 174 1St Ave N, Ilwaco, WA, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235595299
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
174 1St Ave N, Ilwaco, WA, 97208-3158
Phone Number
503-717-7850
Fax Number
503-216-0775
Provider Enumeration Date
01/06/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
174 1St Ave N
City
Ilwaco
State
Washington
Zip
98624-9137
Phone Number
503-717-7850
Fax Number
503-216-0775
person
Provider Business Mailing Address Details
Address
174 1St Ave N
City
Ilwaco
State
Washington
Zip
98624-9137
Phone Number
503-717-7850
Fax Number
503-216-0775
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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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