Organization · Type 2 NPI

Providence Health & Services-Oregon

Community Based Hospice Care Agency · Mount Angel, OR

NPI number 1962844241 Active

Practice location

580 S Main St
Mount Angel, OR 97362-9540

Call (503) 845-2463 Map

Fax (503) 845-2716

Mailing address

PO Box 2724
Portland, OR 97208-2724

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

NPI record

NPI: 1962844241
Entity type: Organization (Type 2)
Issued: Jul 26, 2013
Last updated: Nov 24, 2020
Status: Active
Subpart: Yes of Providence Health & Services-Oregon

Other names

<unavail>
Providence Benedictine Hospice · doing business as
Providence Benedictine Hospice · doing business as

Authorized official

Mr. Donald W Anderson
Dir Reimb Reg Strat/asst Sec Enroll
(425) 525-5392

Verify this record

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 1962844241

Providence Health & Services-Oregon's National Provider Identifier is 1962844241, issued on Jul 26, 2013. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Mount Angel, OR. The record was last updated on Nov 24, 2020.