| Providence Health & Services - Oregon | |
|
5050 Ne Hoyt St Suite 540 Portland OR 97213-2985 | |
| (503) 215-6600 | |
| Not Available |
| Full Name | Providence Health & Services - Oregon |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 5050 Ne Hoyt St, Portland, Oregon |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| 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 31001-4180 Pasadena CA 91110-4180 Ph: () - | Providence Health & Services - Oregon 5050 Ne Hoyt St Suite 540 Portland OR 97213-2985 Ph: (503) 215-6600 |
| NPI Number | 1194978064 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 06/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194978064 | NPI | - | NPPES |
| 288123 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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