Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Parent organization
PROVIDENCE HEALTH & SERVICES OREGON
Other names
Providence Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES OREGON
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
6410 NE HALSEY ST, SUITE 200, PORTLAND, OR 97213-4742
(503) 215-4646
(503) 215-4671
Mailing address
4400 NE HALSEY STREET, BUILDING 1 SUITE 129, PORTLAND, OR 97213-1545
(503) 215-4646
(503) 215-4671
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
05/15/2025
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