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Organization
VIBRA SPECIALTY HOSPITAL OF PORTLAND LLC
Active
Organization
VIBRA SPECIALTY HOSPITAL OF PORTLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD EUGENE HOLLINGER (PRESIDENT)
(717) 591-5700
Entity
Organization
Contact information
Practice address
10300 NE HANCOCK ST, PORTLAND, OR 97220-3831
(503) 257-5555
(503) 257-5673
Mailing address
PO BOX 26657, FRESNO, CA 93729-6657
(559) 892-2500
(559) 892-2444
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
14 1465
OR
Other
Enumeration date
11/21/2006
Last updated
10/10/2023
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