Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Parent organization
PROV ST. VINCENT MEDICAL CTR
Other names
PROVIDENCE ST VINCENT DEPARTMENT OF MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROV ST. VINCENT MEDICAL CTR
Authorized official
SHELLY HANDKINS (CHIEF FINANCE OFFICER)
(503) 216-2229
Entity
Organization
Contact information
Practice address
9205 SW BARNES RD, SUITE 20, PORTLAND, OR 97225-6603
(503) 216-2229
(503) 216-4041
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063768
—
OR
Enumeration date
03/30/2007
Last updated
06/20/2013
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