Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Parent organization
PROVIDENCE HEALTH & SERVICES OREGON
Other names
Providence Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES OREGON
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
2508 PRINGLE RD SE, SALEM, OR 97302-1532
(503) 585-4027
(503) 585-4741
Mailing address
PO BOX 5936A, PORTLAND, OR 97228-5936
(503) 215-4663
(503) 215-4778
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
NPC-0003127
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270998
—
OR
Enumeration date
08/27/2007
Last updated
05/16/2025
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