# PROV HEALTH SYS-OR SHARED-SVS DIV

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVIDENCE HEALTH & SERVICES - OREGON
- **Other names:** Providence Health Education
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184918955
- **Legal business name:** PROVIDENCE HEALTH & SERVICES - OREGON
- **Authorized official:** MS. REBECCA MARIE WILLIAMS (FINANCE DIRECTOR - AMB SERVICES)
- **Authorized official phone:** (503) 893-6863

## Contact information

- **Practice address:** 9340 SW BARNES RD, SUITE 200, PORTLAND, OR 97225-6623
- **Practice address phone:** (503) 216-5641
- **Practice address fax:** (503) 216-2039
- **Mailing address:** 9340 SW BARNES RD, SUITE 200, PORTLAND, OR 97225-6623
- **Mailing address phone:** (503) 216-5641
- **Mailing address fax:** (503) 216-2039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2011
- **Last updated:** 06/08/2011