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PROVIDENCE HEALTH SYSTEM OREGON SHARED SERVICES, AHC Facilities / Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Stethoscope
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PROVIDENCE HEALTH SYSTEM OREGON SHARED SERVICES

NPI Number 1043366172
State Identifier(s) Oregon Medicare PIN #R0000WFBTC
Oregon Medicaid #247685
Group Name PROVIDENCE HEALTH SYSTEM OREGON SHARED SERVICES
Doing business as PROVIDENCE CONNECTIONS MEDICAL GROUP
Credentials - Lic #: ()
Mailing Address Confidential
Business Address 6410 NE HALSEY ST
SUITE 300
PORTLAND, OR 97213-4742

Phone (503) 215-4691
Name ROB LUCK - (ADMINISTRATOR)
Primary Specialty AHC Facilities / Clinic/Center
Additional Specialties
Last Modified 12/31/2013
View the Data Dissemination Notice from the CMS regarding the information that is being displayed on this site.
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