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Providence Health & Services-oregon
Medical Specialty Clinic/Center in Portland, Oregon
NPI 1558689653

Providence Health & Services-oregon is a Medical Specialty Clinic/Center based in Portland, OR and is specialized in Medical Specialty. Providence Health & Services-oregon practices in Portland, OR. The NPI Number for Providence Health & Services-oregon is 1558689653 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services-oregon is 830 Ne 47Th Ave, Portland, OR and can be reached out via phone at 503-215-4483 and via fax at 503-215-0660.

Location: 830 Ne 47Th Ave, Portland, OR, 97213-2212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558689653
Provider Name
Providence Health & Services-oregon
Credential
Provider Entity Type
Organization
Address
830 Ne 47Th Ave, Portland, OR, 97213-2212
Phone Number
503-215-4483
Fax Number
503-215-0660
Provider Enumeration Date
05/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
830 Ne 47Th Ave
City
Portland
State
Oregon
Zip
97213-2212
Phone Number
503-215-4483
Fax Number
503-215-0660
person
Provider Business Mailing Address Details
Address
830 Ne 47Th Ave
City
Portland
State
Oregon
Zip
97213-2212
Phone Number
503-215-4483
Fax Number
503-215-0660
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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