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Providence Health & Services Oregon — NPI 1841756764, Cannon Beach, OR | NPI Central

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NPI 1841756764

OrganizationActive

Providence Health & Services Oregon

NPI 1841756764 · Rural Health Clinic/Center · Cannon Beach, OR

Provider details

NPI number: 1841756764
Entity type: Organization
Primary specialty: Rural Health Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Donald Anderson, Assistant Secretary Enrollments(425) 358-9786

Specialties & taxonomies

Rural Health Clinic/CenterPrimary261QR1300X
Ambulatory Health Care Facilities
Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities

Practice location

171 N Larch St Ste 16

Cannon Beach, OR 97110-3103

Phone: (503) 717-7400

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

Po Box 31001-4199

Pasadena, CA 91110-4199

Other names (DBA / former)

Doing business as: Providence Seaside Hospital - Providence Cannon Beach Clinic
Doing business as: Providence Seaside Hospital, Providence Cannon Beach Clinic
Doing business as: Providence Seaside Hospital, Providence Cannon Beach Clinic

Registry dates

Enumerated: 2019-02-15
Last updated: 2025-04-29
Certified: 2025-04-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.