# PROVIDENCE NEWBERG PHARMACY

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

## Provider details

- **NPI number:** 1154729119
- **Authorized official:** MS. LORI VANZANTEN (CEO)
- **Authorized official phone:** (503) 537-1798

## Contact information

- **Practice address:** 1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
- **Practice address phone:** (503) 537-1798
- **Practice address fax:** (503) 537-1813
- **Mailing address:** 1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
- **Mailing address phone:** (503) 537-1798
- **Mailing address fax:** (503) 537-1813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | — | OR | Yes |

## Other

- **Enumeration date:** 12/08/2014
- **Last updated:** 12/08/2014