institution
Providence Health & Services Oregon
Rural Health Clinic/Center in Seaside, Oregon
NPI 1649344458

Providence Health & Services Oregon is a Rural Health Clinic/Center based in Portland, OR and is specialized in Rural Health. Providence Health & Services Oregon practices in Seaside, OR. The NPI Number for Providence Health & Services Oregon is 1649344458 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services Oregon is 727 S Wahanna Rd, Seaside, OR and can be reached out via phone at 503-717-7000.

Location: 727 S Wahanna Rd, Seaside, OR, 97208-3397
institution
Provider Profile Details
NPI Number
1649344458
Provider Name
Providence Health & Services Oregon
Credential
Provider Entity Type
Organization
Address
727 S Wahanna Rd, Seaside, OR, 97208-3397
Phone Number
503-717-7000
Fax Number
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
039607 01 OR MEDICAID CLINIC - 1500 BILLING
C13774 01 OR RAILROAD MEDICARE
000138 05 OR
015560000 01 OR REGENCE BCBSO CLINIC #
7042567 01 OR WASHINGTON MEDICAID
institution
Provider Business Practice Location Address Details
Address
727 S Wahanna Rd
City
State
Zip
97138
Phone Number
503-717-7000
Fax Number
person
Provider Business Mailing Address Details
Address
727 S Wahanna Rd
City
State
Zip
97138
Phone Number
503-717-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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