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PROVIDENCE HEALTH & SERVICES - OREGON

Organization (NPI-2) Active

Internal Medicine

Provider Information

NPI Number
1093815243
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
12442 SW SCHOLLS FERRY RD SUITE 100, TIGARD, OR, 972233396
Phone
(503) 216-9200
Fax
(503) 216-9220

Specialties & Taxonomies

Clinic/Center
Internal Medicine Primary

All Addresses

LOCATION

12442 SW SCHOLLS FERRY RD SUITE 100

TIGARD, OR, 972233396

(503) 216-9200

MAILING

PO BOX 31001-4180

PASADENA, CA, 911104180

(503) 215-6494