Organization · Type 2 NPI

Providence Health & Services Oregon

Interventional Cardiology Physician · Salem, OR

NPI number 1265743330 Active

Practice location

5050 Skyline Village Loop S
Salem, OR 97306-9490

Call (503) 291-2123 Map

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Interventional Cardiology Physician Primary	207RI0011X	None listed
Clinic/Center	261Q00000X	None listed

Interventional Cardiology Physician: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

30 other providers at this address

NPI record

NPI: 1265743330
Entity type: Organization (Type 2)
Issued: Jun 23, 2010
Last updated: Jul 4, 2025
Status: Active

Other names

<unavail>
Providence Medcial Group · doing business as
Providence ST Vincent Heart Clinics Cardiology Doctors Clinic Salem · doing business as
Providence ST Vincent Heart Clinics Cardiology Doctors Clinic Salem · doing business as

Authorized official

Donald Wayne Anderson
Asst Sec Enrollment
(425) 358-9786

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265743330

Providence Health & Services Oregon's National Provider Identifier is 1265743330, issued on Jun 23, 2010. The primary taxonomy on file is Interventional Cardiology Physician (207RI0011X), and the practice location is in Salem, OR. The record was last updated on Jul 4, 2025.