| NPI | 1770776387 |
|---|---|
| Other Name | PROVIDENCE HEALTH SYSTEM |
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN EELLS RN/Nurse Practitioner Student 1503-215-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 09000464RN) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |