# PROVIDENCE HEALTH AND SERVICES

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

## Provider details

- **NPI number:** 1427319730
- **Authorized official:** LINDA WEITZ (MEDICAL STAFF)
- **Authorized official phone:** (503) 216-1234

## Contact information

- **Practice address:** 9205 SW BARNES RD, PORTLAND, OR 97225-6603
- **Practice address phone:** (503) 216-4628
- **Mailing address:** 9205 SW BARNES RD, PORTLAND, OR 97225-6603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 099007662N1 | OR | Yes |

## Other

- **Enumeration date:** 06/04/2012
- **Last updated:** 06/04/2012