| Providence Health & Services - Oregon | |
|
174 1st Ave N Ilwaco WA 98624-9137 | |
| (503) 717-7850 | |
| (503) 216-0775 |
| Full Name | Providence Health & Services - Oregon |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 174 1st Ave N, Ilwaco, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECREATRY FOR ENROLLMENT) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services - Oregon Po Box 3158 Portland OR 97208-3158 Ph: () - | Providence Health & Services - Oregon 174 1st Ave N Ilwaco WA 98624-9137 Ph: (503) 717-7850 |
| NPI Number | 1235595299 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235595299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
J Stephen Bell Do Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Spruce St, Ilwaco, WA 98624 Phone: 360-642-2662 Fax: 360-642-2663 | |
Public Hospital District 3 Of Pacific County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 1st Ave S, Ilwaco, WA 98624 Phone: 360-642-2662 | |
Public Hospital District 3 Of Pacific County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 1st Avenue North, Ilwaco, WA 98624 Phone: 360-642-6498 Fax: 360-642-0114 |