Graduated: 2017
Offers telehealth
NPI: 1457743296
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
417 SW 117TH AVE, SUITE 200
PORTLAND, OR 972255924
5032161800
PROVIDENCE HEALTH AND SERVICES - OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
5032162213
PROVIDENCE HEALTH AND SERVICES - OREGON
9205 SW BARNES RD, SUITE 20
PORTLAND, OR 972256603
5032162229
Source: CMS National Downloadable File, September 2026.