Organization
PROVIDENCE MILWAUKIE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVON CHINYERE ANUKAM PHARMD (PHARMACIST)
(503) 513-8338
Entity
Organization
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8338
Mailing address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8338
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RPH-0010023
OR
282NC0060X
Critical Access Hospital
RPH-0010023
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175620
—
OR
01
—
38-0082
MEDICARE
—
Enumeration date
07/31/2009
Last updated
07/31/2009
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