Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Other names
Providence Health Express at Bridgeport, PROVIDENCE MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
KEENAN B FREEMAN (CFO)
(503) 893-6524
Entity
Organization
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD, SUITE 104, PORTLAND, OR 97224-7259
(855) 229-6490
Mailing address
PO BOX 31001 - 4180, PASADENA, CA 91110-4180
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
06/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us