| NPI | 1538454665 |
|---|---|
| Doing Business As | PROVIDENCE ONCOLOGY AND HEMATOLOGY CARE CLINIC - WILLAMETTE FALLS |
| Entity Type | Organization |
| Authorized Contact | KEENAN B FREEMAN CFO 503-893-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2013-09-27 |