| NPI | 1548398696 |
|---|---|
| Other Name | PROVIDENCE SEASIDE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | TERESA SPALDING Administrator 503-215-4323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-07-14 |