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PROVIDENCE HEALTH & SERVICES - OREGON

Organization (NPI-2) Active

Psychiatry & Neurology, Neurology

Provider Information

NPI Number
1336311554
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
4805 NE GLISAN ST SUITE 6N50, PORTLAND, OR, 972132933
Phone
(503) 216-1150
Fax
(503) 216-1066

Specialties & Taxonomies

Clinic/Center
Nurse Practitioner, Adult Health
Nurse Practitioner, Family
Psychiatry & Neurology, Neurology Primary

All Addresses

LOCATION

4805 NE GLISAN ST SUITE 6N50

PORTLAND, OR, 972132933

(503) 216-1150

MAILING

PO BOX 31001 - 4180

PASADENA, CA, 911104180