| NPI | 1104113380 |
|---|---|
| Doing Business As | PROVIDENCE PORTLAND MEDICAL CENTER - CHILD & ADOLESCENT PSYCHIATRIC |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN DOWLING COO 503-215-4323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: OR 023981) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OR 023981) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-10-31 |