PROVIDENCE HEALTH & SERVICES - OREGON

PORTLAND, OR
NPI1285717728
Doing Business AsPROVIDENCE ST. VINCENT MEDICAL CENTER
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Dir Reimb Reg Strat/Asst Sec Enroll
425-525-5392
Organization Subpart ?Yes
Primary Taxonomy261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Enumeration Date2006-10-20
Last Update Date2020-08-04
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-215-4323
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3396
PORTLAND, OR 97208-3396
Phone number: 503-215-4323