Organization
PROVIDENCE HEALTH & SERVICES-OREGON
Active
Other names
Providence Child Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JEAN BUDO LCSW, NHA, JD (OPERATIONS ADMINISTRATOR)
(503) 215-2413
Entity
Organization
Contact information
Practice address
830 NE 47TH AVE, ATTN: DENTAL CLINIC, PORTLAND, OR 97213-2212
(503) 215-2400
(503) 215-0660
Mailing address
830 NE 47TH AVE, ATTN: FINANCE, PORTLAND, OR 97213-2212
(503) 215-2400
(503) 215-0660
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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