Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Other names
PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL - RURAL HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1108 JUNE ST, HOOD RIVER, OR 97031-1513
(541) 387-6125
Mailing address
PO BOX 31001-4199, PASADENA, CA 91110-4199
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
05/15/2025
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