PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine Physician

NPI: 1205937273Organization

Specialties, Licenses & Credentials

Physical Therapist

Physical Therapist

Code: 225100000X

Clinic/Center

Code: 261Q00000X

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

Contact & Hours

Address: 4004 KRUSE WAY PL STE 300
LAKE OSWEGO, OR 97035
Phone: (503) 216-1500

Quick Facts

NPI: 1205937273
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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