institution
Providence Health & Services - Oregon
Clinic/Center in Portland, Oregon
NPI 1316197692

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 1316197692 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 4805 Ne Glisan St Ste 11N, Portland, OR and can be reached out via phone at 503-215-5696.

Location: 4805 Ne Glisan St Ste 11N, Portland, OR, 97208-3158
institution
Provider Profile Details
NPI Number
1316197692
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
4805 Ne Glisan St Ste 11N, Portland, OR, 97208-3158
Phone Number
503-215-5696
Fax Number
Provider Enumeration Date
09/24/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
270985 05 OR
institution
Provider Business Practice Location Address Details
Address
4805 Ne Glisan St Ste 11N
City
State
Zip
97213-2933
Phone Number
503-215-5696
Fax Number
person
Provider Business Mailing Address Details
Address
4805 Ne Glisan St Ste 11N
City
State
Zip
97213-2933
Phone Number
503-215-5696
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
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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