| NPI | 1982030656 |
|---|---|
| Doing Business As | PROVIDENCE OCCUPATIONAL MEDICINE-MILL PLAIN |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2025-05-16 |