PROVIDENCE HEALTH & SERVICES - OREGON

PORTLAND, OR
NPI1104246008
Doing Business AsPROVIDENCE HEALTH EXPRESS AT BRIDGEPORT
Entity TypeOrganization
Authorized ContactKEENAN B FREEMAN
CFO
503-893-6524
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2014-04-18
Last Update Date2014-04-18
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
18040 SW LOWER BOONES FERRY RD SUITE 104
PORTLAND, OR 97224-7259
Phone number: 855-229-6490
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: