Organization
PROVIDENCE ST VINCENT HOSPITAL
Active
Parent organization
PROVIDENCE HEALTH & SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES
Authorized official
MRS. LISA A WITZEL (INSURANCE VERIFIER)
(503) 215-9553
Entity
Organization
Contact information
Practice address
1235 NE 47TH AVE, SUITE 285, PORTLAND, OR 97213-2100
(503) 215-9553
(503) 215-0825
Mailing address
1235 NE 47TH AVE, SUITE 285, PORTLAND, OR 97213-2100
(503) 215-9553
(503) 215-0825
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193805
—
OR
Enumeration date
10/22/2008
Last updated
10/22/2008
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