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Providence Health & Services - Oregon
Clinic/Center in Portland, Oregon
NPI 1790025104

Providence Health & Services - Oregon is a Clinic/Center based in Portland, OR. Providence Health & Services - Oregon practices in Portland, OR. The NPI Number for Providence Health & Services - Oregon is 1790025104 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 4805 Ne Glisan St, Portland, OR and can be reached out via phone at 503-962-1000 and via fax at 503-962-1005.

Location: 4805 Ne Glisan St, Portland, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790025104
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
4805 Ne Glisan St, Portland, OR, 97208-3158
Phone Number
503-962-1000
Fax Number
503-962-1005
Provider Enumeration Date
02/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4805 Ne Glisan St
City
Portland
State
Oregon
Zip
97213-2933
Phone Number
503-962-1000
Fax Number
503-962-1005
person
Provider Business Mailing Address Details
Address
4805 Ne Glisan St
City
Portland
State
Oregon
Zip
97213-2933
Phone Number
503-962-1000
Fax Number
503-962-1005
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
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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