Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Other names
Providence St Vincent Heart Clinic Heart Rhythm at Astoria
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1355 EXCHANGE ST, ASTORIA, OR 97103-3980
(503) 216-0770
(503) 216-0775
Mailing address
PO BOX 31001 - 4180, PASADENA, CA 91110-4180
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/10/2013
Last updated
07/01/2025
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