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Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Other names
Providence Occupational Medicine-Mill Plain
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
315 SE STONE MILL DR, SUITE 200, VANCOUVER, WA 98684-6998
(360) 836-3320
(360) 836-3325
Mailing address
PO BOX 4388, PORTLAND, OR 97208-4388
(503) 216-7960
(503) 215-8887
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/25/2013
Last updated
05/16/2025
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