Graduated: 2020
Offers telehealth
NPI: 1265048151
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
4400 NE HALSEY ST
PORTLAND, OR 972131545
5039621000
SALEM HEALTH
885 MISSION ST SE
SALEM, OR 973026222
5038140273
Source: CMS National Downloadable File, September 2026.