PROVIDENCE HEALTH & SERVICES-OREGON

PORTLAND, OR
NPI1811384423
Doing Business AsPROVIDENCE ELDER AT HOME
Entity TypeOrganization
Authorized ContactMARK L METCALF
Director Of Finance
503-215-5491
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Additional Taxonomies251B00000X Case Management
261Q00000X Clinic/Center
Enumeration Date2015-04-21
Last Update Date2015-04-21
Business Address
PROVIDENCE HEALTH & SERVICES-OREGON
4900 NE GLISAN ST
PORTLAND, OR 97213-2936
Phone number: 503-215-0750
Mailing Address
PROVIDENCE HEALTH & SERVICES-OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494