| NPI | 1538460712 |
|---|---|
| Doing Business As | PROVIDENCE HOSPICE OF THE GORGE |
| Entity Type | Organization |
| Authorized Contact | JERRY HUNTER Administrator 503-893-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |