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NPI Profile for PROVIDENCE HEALTH SERVICES OREGON in PORTLAND, OR.
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology | |
Clinic/Center |
261Q00000X |
| NPI # | 1083059778 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/08/2013 | |
| 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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PROVIDENCE HEALTH & SERVICES - OREGON