| NPI | 1639524697 |
|---|---|
| Doing Business As | PROVIDENCE PORTLAND MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BILLIE JEAN MOUNTS Chief Reimbursement Officer 425-687-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 700006) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |