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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE HEALTH & SERVICES - OREGON

Active Organization

PROVIDENCE HEALTH & SERVICES - OREGON is a Nurse Practitioner organization located in TIGARD, Oregon. NPI 1790113405 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · TIGARD, OR

Registration Details

NPI Number
1790113405
Provider Type
Organization
NPI Issued
Oct 16, 2013 (12.868479889166 yrs)
Last Updated
Jul 4, 2025

Practice Information

Address
18040 SW LOWER BOONES FERRY RD
SUITE 100
TIGARD, OR, 972247259
Browse OR providers · Browse ZIP 97224
Phone
8552296460
Fax
5032160710
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Organizations in TIGARD, OR

Name NPI
LIFE MEDICAL LLC 1447065636
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.