| NPI | 1982030656 |
|---|---|
| Doing Business As | PROVIDENCE OCCUPATIONAL MEDICINE-MILL PLAIN |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Reimbursement Director Administrati 503-893-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2017-03-30 |