Organization · Type 2 NPI

Providence Health & Services Oregon

General Practice Physician · Lake Oswego, OR

NPI number 1023488343 Active

Practice location

4823 Meadows Rd
Lake Oswego, OR 97035-2529

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed
Clinic/Center 261Q00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1023488343

Providence Health & Services Oregon's National Provider Identifier is 1023488343, issued on Sep 29, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lake Oswego, OR. The record was last updated on Jun 20, 2025.