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 1801010004 and holds a License No. (Oregon).
The current practice location address for Providence Health & Services Oregon is 4805 Ne Glisan St Ste 11N, Portland, OR and can be reached out via phone at 503-215-8650 and via fax at 503-215-8653.
Location: 4805 Ne Glisan St Ste 11N, Portland, OR, 97208-3158
Provider Profile Details
NPI Number
1801010004
Provider Name
Providence Health & Services Oregon
Credential
Provider Entity Type
Organization
Address
4805 Ne Glisan St Ste 11N, Portland, OR, 97208-3158
Phone Number
503-215-8650
Fax Number
503-215-8653
Provider Enumeration Date
04/12/2007
Last Update Date
06/15/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274461 | 05 | OR |
Provider Business Practice Location Address Details
Address
4805 Ne Glisan St Ste 11N
City
State
Zip
97213-2933
Phone Number
503-215-8650
Fax Number
503-215-8653
Provider Business Mailing Address Details
Address
4805 Ne Glisan St Ste 11N
City
State
Zip
97213-2933
Phone Number
503-215-8650
Fax Number
503-215-8653
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hepatology
Taxonomy
License No.
()
Definition
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Medical Oncology
Taxonomy
License No.
()
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
License No.
()
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Oncology
Taxonomy
License No.
()
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Provider's Taxonomy Details 6
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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