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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 # | 1225378615 |
| LBN Legal business name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Authorized official | DONALD ANDERSON - (ASSISTANT SECREATRY FOR ENROLLMENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/21/2013 |
| Last updated | 07/04/2025 - About 11 months ago |
| Identifiers | n/a |
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PROVIDENCE HEALTH & SERVICES - OREGON