| Providence Health & Services - Oregon | |
|
230 Rowe Street Wheeler OR 97147 | |
| (503) 368-5182 | |
| Not Available |
| Full Name | Providence Health & Services - Oregon |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 230 Rowe Street, Wheeler, 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 |
|---|---|
| Providence Health & Services - Oregon Po Box 3158 Portland OR 97208-3158 Ph: () - | Providence Health & Services - Oregon 230 Rowe Street Wheeler OR 97147 Ph: (503) 368-5182 |
| NPI Number | 1316251036 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 07/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316251036 | NPI | - | NPPES |
| 500628322 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
Rinehart Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 278 Rowe Rd, Wheeler, OR 97147 Phone: 503-368-5182 | |
Nehalem Bay Health Center And Pharmacy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Rowe Street, Wheeler, OR 97147 Phone: 503-368-5182 Fax: 503-368-7328 |