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Providence Health & Services Oregon
Clinic/Center in Clackamas, Oregon
NPI 1245330380

Providence Health & Services Oregon is a Clinic/Center based in Portland, OR. Providence Health & Services Oregon practices in Clackamas, OR. The NPI Number for Providence Health & Services Oregon is 1245330380 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services Oregon is 9290 Se Sunnybrook Blvd, Clackamas, OR and can be reached out via phone at 503-215-2110 and via fax at 503-215-2115. 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: 9290 Se Sunnybrook Blvd, Clackamas, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245330380
Provider Name
Providence Health & Services Oregon
Credential
Provider Entity Type
Organization
Address
9290 Se Sunnybrook Blvd, Clackamas, OR, 97208-3158
Phone Number
503-215-2110
Fax Number
503-215-2115
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043997 05 OR
institution
Provider Business Practice Location Address Details
Address
9290 Se Sunnybrook Blvd
City
Clackamas
State
Oregon
Zip
97015
Phone Number
503-215-2110
Fax Number
503-215-2115
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
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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