| NPI | 1457689598 |
|---|---|
| Doing Business As | PROV HEALTH SYS-OR SHARED-SVS DIV |
| Other Name | PROVIDENCE OCCUPATIONAL MEDICINE-CLACKAMAS |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Corp Secretary For Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2018-07-09 |