Providence Health & Services - Oregon | |
17550 Provost St Ste 201 Lake Oswego OR 97034-5199 | |
(503) 513-3350 | |
(503) 513-3355 |
Full Name | Providence Health & Services - Oregon |
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Speciality | Physical Therapist |
Location | 17550 Provost St Ste 201, Lake Oswego, Oregon |
Authorized Official Name and Position | Donald W Anderson (ASSISTANT SECRETARY ENROLLMENT) |
Authorized Official Contact | 4253589786 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Health & Services - Oregon Po Box 31001 - 4180 Pasadena CA 91110-4180 Ph: (425) 358-9786 | Providence Health & Services - Oregon 17550 Provost St Ste 201 Lake Oswego OR 97034-5199 Ph: (503) 513-3350 |
NPI Number | 1568793313 |
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Provider Enumeration Date | 01/19/2010 |
Last Update Date | 06/30/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568793313 | NPI | - | NPPES |
500672536 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Kristina E Harp M.d P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17704 Jean Way, Suite 105, Lake Oswego, OR 97035 Phone: 503-675-6776 Fax: 503-675-2572 | |
Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4823 Meadows Rd, Lake Oswego, OR 97035 Phone: 503-216-1580 | |
Kimberly J. Schleef D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Carman Dr, Lake Oswego, OR 97035 Phone: 503-635-6555 Fax: 503-635-6557 | |
Dr Pepel Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15880 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-232-3302 Fax: 503-200-2895 | |
Deni R Buss, Lmt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035 Phone: 503-449-6939 Fax: 503-598-3980 | |
Lake Oswego Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 Mercantile Dr, Suite 104, Lake Oswego, OR 97035 Phone: 503-635-1350 Fax: 503-635-8470 | |
Z Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16250 Bryant Rd, Suite 101, Lake Oswego, OR 97035 Phone: 503-342-6410 Fax: 503-210-0222 |