NPI | 1760726293 |
---|---|
Doing Business As | PROVIDENCE ORAL HEAD AND NECK CANCER CLINIC NORTH |
Entity Type | Organization |
Authorized Contact | KEENAN B FREEMAN CFO 503-893-6524 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2012-11-21 |
Last Update Date | 2013-09-25 |