| NPI | 1851657035 |
|---|---|
| Doing Business As | PROVIDENCE SEASIDE HOSPITAL, ASTORIA CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Director Reimbursement Adminsitrati 503-893-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2017-02-24 |