PH
PROVIDENCE HEALTH & SERVICES OREGON
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
MOUNT ANGEL, OR
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1417978164
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameDONALD ANDERSON
TitleASSISTANT SECRETARY OF ENROLLMENTS
Phone5038456841
This profile is not yet claimed.
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your listing verified and add a full address.
✓ Is this you? Claim your profile
This caregiver has not yet activated their profile. If this is you, claim and subscribe to make your listing verified and add a full address.
✓ Is this you? Claim your profile
Source: NPI Registry · Last refreshed June 24, 2026