Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Other names
PSVMC IP PSYC UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM OLSON (VP FINANCE)
(503) 893-6446
Entity
Organization
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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