NPI Profile for PROVIDENCE HEALTH SERVICES OREGON in NEWBERG, OR.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Clinic/Center |
261Q00000X | |||
Clinical Cardiac Electrophysiology |
207RC0001X | 11 | Physician/Internal Medicine |
| NPI Number | 1225378615 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/21/2013 | |
| Last updated | 07/04/2025 - About 11 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PROVIDENCE HEALTH & SERVICES - OREGON
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