Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Other names
Providence St Vincent Heart Clinic Heart Rhythm at Newberg, PROVIDENCE MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1003 PROVIDENCE DR, SUITE 325, NEWBERG, OR 97132-7521
(503) 216-0770
Mailing address
PO BOX 31001 - 4180, PASADENA, CA 91110-4180
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/21/2013
Last updated
07/04/2025
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