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 | |
|---|---|---|
| * | Cardiovascular Disease | 207RC0000X |
| Clinic/Center | 261Q00000X | |
| Clinical Cardiac Electrophysiology | 207RC0001X |
* Indicates primary specialty
| NPI Number | 1225378615 |
| Legal business name LBN |
PROVIDENCE HEALTH & SERVICES - OREGON |
| Authorized official | DONALD ANDERSON - (ASSISTANT SECREATRY FOR ENROLLMENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 02/21/2013 |
| Last updated | 07/04/2025 - About 11 months ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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