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Providence Health & Services - Oregon
Clinic/Center in Lake Oswego, Oregon
NPI 1568793313

Providence Health & Services - Oregon is a Clinic/Center based in Portland, OR. Providence Health & Services - Oregon practices in Lake Oswego, OR. The NPI Number for Providence Health & Services - Oregon is 1568793313 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 17550 Provost St Ste 201, Lake Oswego, OR and can be reached out via phone at 503-513-3350 and via fax at 503-513-3355. 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: 503-215-6494).

Location: 17550 Provost St Ste 201, Lake Oswego, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568793313
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
17550 Provost St Ste 201, Lake Oswego, OR, 97208-3158
Phone Number
503-513-3350
Fax Number
503-513-3355
Provider Enumeration Date
01/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500672536 05 OR
institution
Provider Business Practice Location Address Details
Address
17550 Provost St Ste 201
City
Lake Oswego
State
Oregon
Zip
97034-5199
Phone Number
503-513-3350
Fax Number
503-513-3355
person
Provider Business Mailing Address Details
Address
17550 Provost St Ste 201
City
Lake Oswego
State
Oregon
Zip
97034-5199
Phone Number
503-513-3350
Fax Number
503-513-3355
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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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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