institution
Providence Health & Services - Oregon
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Portland, Oregon
NPI 1285717728

Providence Health & Services - Oregon is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Portland, OR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Providence Health & Services - Oregon practices in Portland, OR. The NPI Number for Providence Health & Services - Oregon is 1285717728 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 9205 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-215-4323 and via fax at 503-215-0297.

Location: 9205 Sw Barnes Rd, Portland, OR, 97208-3396
institution
Provider Profile Details
NPI Number
1285717728
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
9205 Sw Barnes Rd, Portland, OR, 97208-3396
Phone Number
503-215-4323
Fax Number
503-215-0297
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RS0004 01 OR PART B MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
9205 Sw Barnes Rd
City
State
Zip
97225-6603
Phone Number
503-215-4323
Fax Number
503-215-0297
person
Provider Business Mailing Address Details
Address
9205 Sw Barnes Rd
City
State
Zip
97225-6603
Phone Number
503-215-4323
Fax Number
503-215-0297
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
()
Definition
Definition to come...
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