Organization · Type 2 NPI

Providence Health & Services - Oregon

General Practice Physician · Oregon City, OR

NPI number 1891026647 Active

Practice location

1510 Division St, Suite 200
Oregon City, OR 97045-1599

Fax (503) 650-6888

Mailing address

PO Box 3158
Portland, OR 97208-3158

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.

16 other providers at this address

About NPI 1891026647

Providence Health & Services - Oregon's National Provider Identifier is 1891026647, issued on Jan 19, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Oregon City, OR. The record was last updated on Jul 4, 2025.