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Organization

PROVIDENCE HEALTH & SERVICES OREGON

Active
Other names
PROVIDENCE HOSPICE OF THE GORGE
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
1630 WOODS CT, HOOD RIVER, OR 97031-2911
(541) 387-6449
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
11/04/2010
Last updated
07/08/2025
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