PROVIDENCE HEALTH & SERVICES - OREGON is a clinic center in Canby, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1184977233. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Medical Group Canby Family Medicine.
The provider's business location address is:
200 S HAZEL DELL WAY
CANBY, OR
ZIP 97013-829
Phone: (503) 263-9500
Fax: (503) 263-1383
The provider's authorized official is Donald W Anderson .
The authorized official title is Dir Reimb Reg Strat/asst Sec Enroll and has the following contact phone number (425) 525-5392.
The CLIA number assigned to this NPI record is 38D2015263 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/25/2012 and was last updated on 1/19/2021.