Graduated: 2019
Offers telehealth
NPI: 1821584889
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
PROVIDENCE HEALTH AND SERVICES OREGON
6350 NE HALSEY ST
PORTLAND, OR 972134720
5032150750
Source: CMS National Downloadable File, September 2026.