Graduated: 2022
Offers telehealth
NPI: 1548759418
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
12400 NW CORNELL RD, SUITE 100
PORTLAND, OR 972295689
5036260939
PROVIDENCE HEALTH AND SERVICES OREGON
725 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
PROVIDENCE HEALTH AND SERVICES OREGON
727 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
Source: CMS National Downloadable File, September 2026.