| Providence Health & Services Oregon | |
|
113 S Highway 101 Warrenton OR 97146-9314 | |
| (503) 861-6500 | |
| Not Available |
| Full Name | Providence Health & Services Oregon |
|---|---|
| Speciality | Clinic/Center |
| Location | 113 S Highway 101, Warrenton, Oregon |
| Authorized Official Name and Position | Donald W Anderson (ASSISTANT SECRETARY ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services Oregon Po Box 31001-4199 Pasadena CA 91110-4199 Ph: (503) 893-7120 | Providence Health & Services Oregon 113 S Highway 101 Warrenton OR 97146-9314 Ph: (503) 861-6500 |
| NPI Number | 1972039170 |
|---|---|
| Provider Enumeration Date | 05/08/2017 |
| Last Update Date | 05/21/2025 |
| Medicare PECOS PAC ID | 1557260106 |
|---|---|
| Medicare Enrollment ID | O20170706001783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972039170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Safe Harbor Pediatrics Rural Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 429 Se Marlin Ave, Warrenton, OR 97146 Phone: 503-861-7777 Fax: 503-861-7771 | |
Columbia Lutheran Charities Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1639 Se Ensign Ln, Suite B103, Warrenton, OR 97146 Phone: 503-338-4500 Fax: 503-338-4501 | |
Columbian Lutheran Charities Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1639 Se Ensign Ln, Suite B103, Warrenton, OR 97146 Phone: 503-338-4500 Fax: 503-338-4501 |