| NPI | 1053636126 |
|---|---|
| Other Name | PROVIDENCE |
| Entity Type | Organization |
| Authorized Contact | LINDA BRYANT Nurse Manager 503-216-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access (Licence: OR 090006973RN) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |