PROVIDENCE HEALTH & SERVICES - OREGON
Organization (NPI-2)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1407109937- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4805 NE GLISAN ST STE 11N, PORTLAND, OR, 972132933
- Phone
- (503) 215-3053
- Fax
- (503) 215-3037
Specialties & Taxonomies
Clinic/Center
Oral & Maxillofacial Surgery
Primary
All Addresses
MAILING
PO BOX 31001 - 4180
PASADENA, CA, 911104180