Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Parent organization
PROVIDENCE HEALTH & SERVICES OREGON
Other names
Providence Benedictine Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES OREGON
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
570 S MAIN STREET, MOUNT ANGEL, OR 97362-9540
(503) 845-9226
Mailing address
PO BOX 2724, PORTLAND, OR 97208-2724
(503) 215-4601
(503) 215-4624
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276701
—
OR
Enumeration date
06/30/2005
Last updated
05/16/2025
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