PROVIDENCE HEALTH & SERVICES - OREGON
Organization (NPI-2)
Active
Internal Medicine, Sports Medicine
Provider Information
- NPI Number
1235479643- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 909 SW 18TH AVE, PORTLAND, OR, 972051705
- Phone
- (503) 962-1946
- Fax
- (503) 962-1925
Specialties & Taxonomies
Internal Medicine
Clinic/Center
Internal Medicine, Sports Medicine
Primary