Organization
PROVIDENCE HEALTH & SERVICES-OREGON NEWBERG MEDICAL CENTER
Active
Other names
Providence Newberg Medical Center Lifeline
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
16078 SW TUALATIN SHERWOOD RD, SHERWOOD, OR 97140-8522
(503) 537-1463
(503) 537-1812
Mailing address
1001 PROVIDENCE DRIVE, NEWBERG, OR 97132
(503) 215-4323
(503) 215-0297
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227837
—
OR
Enumeration date
11/17/2006
Last updated
05/07/2025
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