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Providence Health & Services - Oregon

Providence Health & Services - Oregon is a health care provider in Portland, OR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 230 Rowe Street, Wheeler, OR 97147, US
Practice Location Phone503-368-5182
Practice Location Fax
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Other Organization NamePROVIDENCE ST VINCENT HEART CLINICS CARDIOLOGY RINEHART CLINIC
Other Organization Name TypeDoing Business As Name
NPI ?1316251036
Entity TypeOrganization
Enumeration Date ? Aug 5, 2010
Last Update Date ? Sep 25, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Providence Health & Services - Oregon

SpecialtySpecializationLicenseLicense State
Clinic/Center

legacy-id-icon Legacy Provider IDs of Providence Health & Services - Oregon

Provider IdIssuer StateIssuer TypeIssuer
500628322OregonMedicaid

official-icon Authorized Official of Providence Health & Services - Oregon

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Providence Health & Services - Oregon's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Keenan B Freeman
Authorized Official Title/PositionCFO
Authorized Official Phone Number503-893-6524