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PROVIDENCE HEALTH & SERVICES OREGON

Internal Medicine Physician

NPI: 1164623401Organization

Specialties, Licenses & Credentials

Social Worker

Social Worker

Code: 104100000X

Clinic/Center

Clinic/Center

Code: 261Q00000X

Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

Contact & Hours

Address
4400 NE HALSEY ST
PORTLAND, OR 97213

Quick Facts

NPI
1164623401
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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