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Organization
PROV HEALTH SYS-OR SHARED-SVS DIV
Active
Organization
PROV HEALTH SYS-OR SHARED-SVS DIV
Active
Parent organization
PROVIDENCE HEALTH & SERVICES - OREGON
Other names
Providence Health Education
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES - OREGON
Authorized official
MS. REBECCA MARIE WILLIAMS (FINANCE DIRECTOR - AMB SERVICES)
(503) 893-6863
Entity
Organization
Contact information
Practice address
9340 SW BARNES RD, SUITE 200, PORTLAND, OR 97225-6623
(503) 216-5641
(503) 216-2039
Mailing address
9340 SW BARNES RD, SUITE 200, PORTLAND, OR 97225-6623
(503) 216-5641
(503) 216-2039
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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