institution
Providence Health & Services Oregon
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Portland, Oregon
NPI 1396818993

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 1396818993 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 503-215-4323 and via fax at 503-215-0297.

Location: 4805 Ne Glisan St, Portland, OR, 97208-3395
institution
Provider Profile Details
NPI Number
1396818993
Provider Name
Providence Health & Services Oregon
Credential
Provider Entity Type
Organization
Address
4805 Ne Glisan St, Portland, OR, 97208-3395
Phone Number
503-215-4323
Fax Number
503-215-0297
Provider Enumeration Date
11/15/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4805 Ne Glisan St
City
State
Zip
97213-2933
Phone Number
503-215-4323
Fax Number
503-215-0297
person
Provider Business Mailing Address Details
Address
4805 Ne Glisan St
City
State
Zip
97213-2933
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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