Providence Health & Services - Oregon

NPI 1053419218 - Clinic/Center - 261Q00000X

NPI Details
NPI 1053419218
Enumeration Date 09/20/2006
Last Updated 09/25/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEENAN B KEENAN
Position CFO
Phone (503) 215-9500
Fax (503) 215-9525
Practice Location
440 NW DIVISION ST
GRESHAM OR, 97030-5506, US
Phone (503) 215-9500
Fax (503) 215-9525
Business Location
PO BOX 3158
PORTLAND OR, 97208-3158, US
Phone (503) 215-6494
Fax (503) 215-6644
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1053419218 NPI Number
 

According to our database, Providence Health & Services - Oregon NPI is 1053419218, taxonomy code is 261Q00000X Providence Health & Services - Oregon physically located at 440 Nw Division St, Gresham OR, 97030-5506. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1053419218 NPI number is provided on an as is basis without warranty of any kind. 1053419218 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Health & Services - Oregon are for informational purposes only.