| NPI | 1700166782 |
|---|---|
| Doing Business As | PROVIDENCE BREAST CARE CLINIC - EAST |
| Entity Type | Organization |
| Authorized Contact | KEENAN B FREEMAN CFO 503-893-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2014-07-31 |