Graduated: 2014
Offers telehealth
NPI: 1356603948
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
9135 SW BARNES RD
PORTLAND, OR 972256777
PROVIDENCE HEALTH AND SERVICES OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
Source: CMS National Downloadable File, September 2026.