Organization
PROV HEALTH SYS-OR SHARED SYS DIV
Active
Parent organization
PROVIDENCE HEALTH & SERVICES - OREGON
Other names
Providence Employee Clinic - The Plaza
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES - OREGON
Authorized official
MS. REBECCA MARIE WILLIAMS (FINANCE DIRECTOR, AMB SERVICES)
(503) 893-6523
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST, SUITE B48, PORTLAND, OR 97213-2944
(503) 215-6019
(503) 215-6381
Mailing address
4400 NE HALSEY ST BLDG II, SUITE 495, PORTLAND, OR 97213-1545
(503) 893-6523
(503) 893-6680
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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