Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Other names
PROVIDENCE ST VINCENT MC - CARDIAC TRANSPLANT
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
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 215-1234
Mailing address
PO BOX 31001-4199, PASADENA, CA 91110-4199
(503) 215-1234
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
05/07/2025
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