| NPI | 1396818993 |
|---|---|
| Doing Business As | PROVIDENCE PORTLAND MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2025-05-07 |