# PROVIDENCE ST. VINCENT MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194122390
- **Authorized official:** DR. WEIFANG YU MD,PHD (RESIDENT)
- **Authorized official phone:** (503) 216-2621

## Contact information

- **Practice address:** 9205 SW BARNES RD, PORTLAND, OR 97225-6603
- **Practice address phone:** (503) 216-2621
- **Practice address fax:** (503) 216-7488
- **Mailing address:** 9205 SW BARNES RD, PORTLAND, OR 97225-6603
- **Mailing address phone:** (503) 216-2621
- **Mailing address fax:** (503) 216-7488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PG170878 | OR | Yes |

## Other

- **Enumeration date:** 12/03/2014
- **Last updated:** 12/03/2014