| NPI | 1720402472 |
|---|---|
| Doing Business As | PROVIDENCE ST VINCENT CARDIAC DEVICE AND MONITORING CLINIC BRIDGEPORT |
| Entity Type | Organization |
| Authorized Contact | KEENAN B FREEMAN CFO 503-593-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |