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Providence Health & Services - Oregon
Clinic/Center in Phoenix, Oregon
NPI 1992882500

Providence Health & Services - Oregon is a Clinic/Center based in Portland, OR. Providence Health & Services - Oregon practices in Phoenix, OR. The NPI Number for Providence Health & Services - Oregon is 1992882500 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 205 N Phoenix Rd, Phoenix, OR and can be reached out via phone at 541-732-5760 and via fax at 541-732-3406.

Location: 205 N Phoenix Rd, Phoenix, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992882500
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
205 N Phoenix Rd, Phoenix, OR, 97208-3158
Phone Number
541-732-5760
Fax Number
541-732-3406
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
278307 05 OR
CG6801 01 OR RAIL ROAD MEDIARE
institution
Provider Business Practice Location Address Details
Address
205 N Phoenix Rd
City
Phoenix
State
Oregon
Zip
97535-9104
Phone Number
541-732-5760
Fax Number
541-732-3406
person
Provider Business Mailing Address Details
Address
205 N Phoenix Rd
City
Phoenix
State
Oregon
Zip
97535-9104
Phone Number
541-732-5760
Fax Number
541-732-3406
person
Provider's Taxonomy Details 1
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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