Graduated: 2013
Offers telehealth
NPI: 1992014120
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
440 NW DIVISION ST
GRESHAM, OR 970305506
5032159500
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.