Organization
PROVIDENCE ST. VINCENT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEIFANG YU MD,PHD (RESIDENT)
(503) 216-2621
Entity
Organization
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2621
(503) 216-7488
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2621
(503) 216-7488
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PG170878
OR
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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