institution
Providence Health & Services - Oregon
Family Nurse Practitioner in Portland, Oregon
NPI 1336311554

Providence Health & Services - Oregon is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Providence Health & Services - Oregon practices in Portland, OR. The NPI Number for Providence Health & Services - Oregon is 1336311554 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 4805 Ne Glisan St, Portland, OR and can be reached out via phone at 503-216-1150 and via fax at 503-216-1066.

Location: 4805 Ne Glisan St, Portland, OR, 97208-3158
institution
Provider Profile Details
NPI Number
1336311554
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
4805 Ne Glisan St, Portland, OR, 97208-3158
Phone Number
503-216-1150
Fax Number
503-216-1066
Provider Enumeration Date
03/27/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
279129 05 OR
institution
Provider Business Practice Location Address Details
Address
4805 Ne Glisan St
City
State
Zip
97213-2933
Phone Number
503-216-1150
Fax Number
503-216-1066
person
Provider Business Mailing Address Details
Address
4805 Ne Glisan St
City
State
Zip
97213-2933
Phone Number
503-216-1150
Fax Number
503-216-1066
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
()
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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).
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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