Organization · Type 2 NPI

Providence Health & Services Oregon

Primary Care Clinic/Center · Portland, OR

NPI number 1053403394 Active

Practice location

9205 SW Barnes Rd, MT7878
Portland, OR 97225-6603

Call (503) 216-4961 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1053403394

Providence Health & Services Oregon's National Provider Identifier is 1053403394, issued on Sep 28, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Portland, OR. The record was last updated on Jul 4, 2025.