institution
Providence Health & Services - Oregon
Pediatric Surgery Physician in Portland, Oregon
NPI 1659451086

Providence Health & Services - Oregon is a Pediatric Surgery Physician based in Portland, OR and is specialized in Pediatric Surgery. Providence Health & Services - Oregon practices in Portland, OR. The NPI Number for Providence Health & Services - Oregon is 1659451086 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 1321 Ne 99Th Ave, Portland, OR and can be reached out via phone at 503-216-8654 and via fax at 503-216-8658. 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: 1321 Ne 99Th Ave, Portland, OR, 97208-3158
institution
Provider Profile Details
NPI Number
1659451086
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
1321 Ne 99Th Ave, Portland, OR, 97208-3158
Phone Number
503-216-8654
Fax Number
503-216-8658
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
269957 05 OR
institution
Provider Business Practice Location Address Details
Address
1321 Ne 99Th Ave
City
State
Zip
97220-9436
Phone Number
503-216-8654
Fax Number
503-216-8658
person
Provider Business Mailing Address Details
Address
1321 Ne 99Th Ave
City
State
Zip
97220-9436
Phone Number
503-216-8654
Fax Number
503-216-8658
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
()
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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