PROVIDENCE HEALTH & SERVICES OREGON
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1922330828- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 18040 SW LOWER BOONES FERRY RD STE 104, TIGARD, OR, 972247259
- Phone
- (503) 216-0625
- Fax
- (503) 216-0630
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
Primary License: OR #RP-0002571-CS