PROVIDENCE HEALTH & SERVICES - OREGON NPI 1760726293

NPI Information

  • NPI: 1760726293
  • Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • :
  • Address: 830 NE 47TH AVE
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 215-3053

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NPI Details

PROVIDENCE HEALTH & SERVICES - OREGON is a hematology and oncology internal medicine in Portland, OR. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1760726293. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

830 NE 47TH AVE
PORTLAND, OR
ZIP 97213-212
Phone: (503) 215-3053
Fax: (503) 215-3037

The provider's authorized official is Donald W Anderson .
The authorized official title is Assistant Secretary Enrollment and has the following contact phone number (425) 358-9786.

The enumeration date for this NPI number is 11/21/2012 and was last updated on 7/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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