Organization
PROVIDENCE HEALTH & SERVICES-OREGON
Active
Other names
Providence Child Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
830 NE 47TH AVE, ATTN: FINANCE, PORTLAND, OR 97213-2212
(503) 215-4483
(503) 215-0660
Mailing address
830 NE 47TH AVE, ATTN: FINANCE, PORTLAND, OR 97213-2212
(503) 215-4483
(503) 215-0660
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/16/2025
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