Organization
PROVIDENCE HEALTH & SERVICES-OREGON
Active
Parent organization
PROVIDENCE HEALTH & SERVICES-OREGON
Other names
Providence Benedictine Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES-OREGON
Authorized official
MR. DONALD W ANDERSON JR. (DIR REIMB REG STRAT/ASST SEC ENROLL)
(425) 525-5392
Entity
Organization
Contact information
Practice address
580 S MAIN ST, MOUNT ANGEL, OR 97362-9540
(503) 845-2463
(503) 845-2716
Mailing address
PO BOX 2724, PORTLAND, OR 97208-2724
(503) 215-4601
(503) 215-4624
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
11/24/2020
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