<Unavail>

LBN: Providence Health & Services - Oregon
<Unavail> is an health care organization with primary practice located at 909 Sw 18Th Ave , Portland OR 97205-1705. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 962-1946, or through Anderson, Donald Wayne via phone (425) 358-9786.

Contact Information

Primary practice address
909 Sw 18Th Ave Portland OR 97205-1705
Phone: (503) 962-1946
Fax: (503) 962-1925
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 358-9786

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1235479643
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as <Unavail>
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2013
Last updated Jul 4th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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