Providence Health & Services Oregon | |
315 Se Stone Mill Dr Suite 102 Vancouver WA 98684-6987 | |
(360) 816-2700 | |
(360) 816-2710 |
Full Name | Providence Health & Services Oregon |
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Speciality | Radiology - Diagnostic Radiology |
Location | 315 Se Stone Mill Dr, Vancouver, Washington |
Authorized Official Name and Position | Donald Wayne 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: () - | Providence Health & Services Oregon 315 Se Stone Mill Dr Suite 102 Vancouver WA 98684-6987 Ph: (360) 816-2700 |
NPI Number | 1326294117 |
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Provider Enumeration Date | 08/12/2008 |
Last Update Date | 07/04/2025 |
Identifier | Type | State | Issuer |
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1326294117 | NPI | - | NPPES |
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