| NPI | 1003991845 |
|---|---|
| Doing Business As | PROVIDENCE PORTLAND MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Asst Sec For Enroll/Dir Reimb Admin 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2021-12-29 |