institution
Providence Health & Services - Oregon
Clinic/Center in Portland, Oregon
NPI 1790881498

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 1790881498 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 503-215-4050 and via fax at 503-215-4055.

Location: 1321 Ne 99Th Ave, Portland, OR, 97208-3158
institution
Provider Profile Details
NPI Number
1790881498
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
1321 Ne 99Th Ave, Portland, OR, 97208-3158
Phone Number
503-215-4050
Fax Number
503-215-4055
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198127 05 OR
institution
Provider Business Practice Location Address Details
Address
1321 Ne 99Th Ave
City
State
Zip
97220-9437
Phone Number
503-215-4050
Fax Number
503-215-4055
person
Provider Business Mailing Address Details
Address
1321 Ne 99Th Ave
City
State
Zip
97220-9437
Phone Number
503-215-4050
Fax Number
503-215-4055
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
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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