| NPI | 1013217975 |
|---|---|
| Doing Business As | PROVIDENCE GYNECOLOGIC ONCOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MITCHELL S NEYHART CFO 503-893-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-12-02 |