Organization
PROVIDENCE HEALTH AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WEITZ (MEDICAL STAFF)
(503) 216-1234
Entity
Organization
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-4628
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
099007662N1
OR
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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