Organization
PROVIDENCE NEWBERG PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI VANZANTEN (CEO)
(503) 537-1798
Entity
Organization
Contact information
Practice address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1798
(503) 537-1813
Mailing address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1798
(503) 537-1813
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
OR
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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