Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Other names
One Medical with Providence, One Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASST SEC FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
9205 SW BARNES RD, MT7878, PORTLAND, OR 97225-6603
(503) 216-4961
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
07/04/2025
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