Graduated: 2021
Offers telehealth
NPI: 1215699830
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1003 N PROVIDENCE DR, SUITE 210
NEWBERG, OR 971327523
5035375620
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
Source: CMS National Downloadable File, September 2026.