# PROVIDENCE SEASIDE HOSPITAL

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

## Provider details

- **NPI number:** 1952449985
- **Authorized official:** MRS. AMY E WILSON (ADMINISTRATION ASSISTANT)
- **Authorized official phone:** (503) 717-7728

## Contact information

- **Practice address:** 725 S WAHANNA RD, SEASIDE, OR 97138-7735
- **Practice address phone:** (503) 717-7000
- **Mailing address:** 741 BEACH DR, SEASIDE, OR 97138-5501
- **Mailing address phone:** (503) 738-0880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 087007000CRNA | OR | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020