| NPI | 1841376092 |
|---|---|
| Doing Business As | PROVIDENCE PORTLAND MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Asst Sec For Enroll/Dir Reimb Admin 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2023-02-14 |