Graduated: 2021
Offers telehealth
NPI: 1457920985
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
440 NW DIVISION ST
GRESHAM, OR 970305506
5032159500
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
Source: CMS National Downloadable File, September 2026.