Graduated: 2018
Offers telehealth
NPI: 1326400573
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
PROVIDENCE HEALTH AND SERVICES OREGON
5330 NE GLISAN ST, SUITE 100
PORTLAND, OR 972133069
5032159700
Source: CMS National Downloadable File, September 2026.