| NPI | 1861825820 |
|---|---|
| Doing Business As | PROVIDENCE SOUTHEAST ONCOLOGY PALLIATIVE CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEENAN B FREEMAN CFO 503-893-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |