# PROVIDENCE HEALTH & SERVICES - OREGON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023440435
- **Authorized official:** MR. BRIAN NEIL SCHAPANSKY (REGISTERED NURSE/ CRITICAL CARE)
- **Authorized official phone:** (903) 327-6489

## Contact information

- **Practice address:** 11445 SE MOON DUST CT, HAPPY VALLEY, OR 97086-8033
- **Practice address phone:** (903) 327-6489
- **Mailing address:** 11445 SE MOON DUST CT, HAPPY VALLEY, OR 97086-8033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 201140845RN | OR | Yes |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 08/08/2013