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Organization

PROVIDENCE HEALTH & SERVICES - OREGON

Active
Other names
Providence Newberg Medical Center
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
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1555
Mailing address
PO BOX 31001-4199, PASADENA, CA 91110-4199

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207ZC0006X
Clinical Pathology Physician
Primary
2085B0100X
Body Imaging Physician

Other

Enumeration date
10/18/2016
Last updated
05/27/2025
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