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Organization

PROVIDENCE HEALTH & SERVICES-OREGON

Active
Parent organization
PROVIDENCE HEALTH & SERVICES-OREGON
Other names
Providence Radiology-Mill Plain
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES-OREGON
Authorized official
KATHLEEN DOWLING (SYS DIR RC BUSINESS OPERATIONS)
(503) 215-4323
Entity
Organization

Contact information

Practice address
315 SE STONE MILL DR, SUITE 102, VANCOUVER, WA 98684-6998
(360) 816-2733
(360) 816-2710
Mailing address
PO BOX 3395, PORTLAND, OR 97208-3395
(503) 215-4323
(503) 215-0297

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
WA

Other

Enumeration date
09/21/2011
Last updated
01/11/2012
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