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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 |
| LBN Legal business name | PROVIDENCE HEALTH & SERVICES - OREGON |
| Authorized official | DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENTS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/08/2013 |
| Last updated | 07/04/2025 - About 11 months ago |
| Identifiers | n/a |
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PROVIDENCE HEALTH & SERVICES - OREGON
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