# PROV HEALTH SYS-OR SHARED SYS DIV

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROVIDENCE HEALTH & SERVICES - OREGON
- **Other names:** Providence Employee Clinic - The Plaza
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518251396
- **Legal business name:** PROVIDENCE HEALTH & SERVICES - OREGON
- **Authorized official:** MS. REBECCA MARIE WILLIAMS (FINANCE DIRECTOR, AMB SERVICES)
- **Authorized official phone:** (503) 893-6523

## Contact information

- **Practice address:** 5050 NE HOYT ST, SUITE B48, PORTLAND, OR 97213-2944
- **Practice address phone:** (503) 215-6019
- **Practice address fax:** (503) 215-6381
- **Mailing address:** 4400 NE HALSEY ST BLDG II, SUITE 495, PORTLAND, OR 97213-1545
- **Mailing address phone:** (503) 893-6523
- **Mailing address fax:** (503) 893-6680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

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