Graduated: 2020
Offers telehealth
NPI: 1780211680
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
110 CTR AVE
MOLALLA, OR 970388134
5038292273
PROVIDENCE HEALTH AND SERVICES - OREGON
1500 DIVISION ST
OREGON CITY, OR 970451527
5036561631
Source: CMS National Downloadable File, September 2026.