NPI | 1811211220 |
---|---|
Doing Business As | PROVIDENCE LIVER CANCER WEST |
Entity Type | Organization |
Authorized Contact | KEENAN B FREEMAN CFO 503-893-6524 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2010-03-15 |
Last Update Date | 2014-12-29 |