PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine Physician

NPI: 1790881498Organization

Specialties, Licenses & Credentials

Clinic/Center

Code: 261Q00000X

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

Contact & Hours

Address: 1321 NE 99TH AVE, SUITE 100
PORTLAND, OR 97220
Phone: (503) 215-4050

Quick Facts

NPI: 1790881498
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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