| NPI | 1396818993 |
|---|---|
| Doing Business As | PROVIDENCE PORTLAND MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb S 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2022-05-23 |