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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 |
| NPI Number | 1316251036 |
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| LBN Legal business name | PROVIDENCE HEALTH & SERVICES - OREGON | ||||
| Authorized official | DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/05/2010 | ||||
| Last updated | 07/04/2025 - About 11 months ago | ||||
| Identifiers |
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PROVIDENCE HEALTH & SERVICES - OREGON