NPI | 1578854857 |
---|---|
Doing Business As | PROVIDENCE HEART CLINIC AT THE OREGON CLINIC GATEWAY |
Doing Business As | PROVIDENCE HEART CLINIC HOLLYWOOD |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2011-04-21 |
Last Update Date | 2025-05-16 |