| NPI | 1235259532 |
|---|---|
| Doing Business As | PROVIDENCE ST VINCENT DEPARTMENT OF MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHELLY HANDKINS Chief Finance Officer 503-216-2229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2013-06-20 |