PROVIDENCE HEALTH & SERVICES - WASHINGTON is a cardiovascular disease internal medicine in Enterprise, OR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI is 1144536269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Sponake Heart Institute.
The provider's business location address is:
107 SW 1ST ST
SUITE 104
ENTERPRISE, OR
ZIP 97828
Phone: (509) 838-7711
The provider's authorized official is Randee Reid .
The authorized official title is Credentialing Coord and has the following contact phone number (425) 525-6694.
The CLIA number assigned to this NPI record is 50D0908457 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/26/2010 and was last updated on 8/26/2010.