Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Other names
Providence Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
6410 NE HALSEY ST, SUITE 300, PORTLAND, OR 97213-4742
(503) 215-2273
(503) 215-8274
Mailing address
4400 NE HALSEY STREET, BUILDING 1 SUITE 129, PORTLAND, OR 97213-1545
(503) 215-2273
(503) 215-8274
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241350
—
OR
Enumeration date
10/11/2006
Last updated
05/16/2025
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