PROVIDENCE HEALTH & SERVICES - OREGON

PORTLAND, OR
NPI1760726293
Doing Business AsPROVIDENCE ORAL HEAD AND NECK CANCER CLINIC NORTH
Entity TypeOrganization
Authorized ContactKEENAN B FREEMAN
CFO
503-893-6524
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2012-11-21
Last Update Date2013-09-25
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
830 NE 47TH AVE
PORTLAND, OR 97213-2212
Phone number: 503-215-3053
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: