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Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Parent organization
PROVIDENCE HEALTH & SERVICES - OREGON
Other names
Providence Rehab Services-Camas
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES - OREGON
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3101 SE 192ND AVE, SUITE 104, VANCOUVER, WA 98683-1442
(360) 553-7480
(360) 553-7485
Mailing address
PO BOX 3395, PORTLAND, OR 97208-3395
(503) 215-4323
(503) 215-0297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
225X00000X
Occupational Therapist
—
WA
235Z00000X
Speech-Language Pathologist
—
WI
Other
Enumeration date
09/21/2011
Last updated
05/14/2025
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