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Providence Health & Services - Oregon
Clinic/Center in Gresham, Oregon
NPI 1437442795

Providence Health & Services - Oregon is a Clinic/Center based in Portland, OR. Providence Health & Services - Oregon practices in Gresham, OR. The NPI Number for Providence Health & Services - Oregon is 1437442795 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 440 Nw Division St, Gresham, OR and can be reached out via phone at 503-962-1000 and via fax at 503-963-3005. 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: ).

Location: 440 Nw Division St, Gresham, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437442795
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
440 Nw Division St, Gresham, OR, 97208-3158
Phone Number
503-962-1000
Fax Number
503-963-3005
Provider Enumeration Date
05/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500639264 05 OR
institution
Provider Business Practice Location Address Details
Address
440 Nw Division St
City
Gresham
State
Oregon
Zip
97030-5506
Phone Number
503-962-1000
Fax Number
503-963-3005
person
Provider Business Mailing Address Details
Address
Po Box 3158
City
Portland
State
Oregon
Zip
97208-3158
Phone Number
Fax Number
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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