# PROVIDENCE ST VINCENT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVIDENCE HEALTH & SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083866933
- **Legal business name:** PROVIDENCE HEALTH & SERVICES
- **Authorized official:** MRS. LISA A WITZEL (INSURANCE VERIFIER)
- **Authorized official phone:** (503) 215-9553

## Contact information

- **Practice address:** 1235 NE 47TH AVE, SUITE 285, PORTLAND, OR 97213-2100
- **Practice address phone:** (503) 215-9553
- **Practice address fax:** (503) 215-0825
- **Mailing address:** 1235 NE 47TH AVE, SUITE 285, PORTLAND, OR 97213-2100
- **Mailing address phone:** (503) 215-9553
- **Mailing address fax:** (503) 215-0825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2008
- **Last updated:** 10/22/2008