Organization
VIBRA SPECIALTY HOSPITAL OF PORTLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD EUGENE HOLLINGER (PRESIDENT)
(717) 591-5700
Entity
Organization
Contact information
Practice address
10300 NE HANCOCK ST, PORTLAND, OR 97220-3831
(503) 257-5555
(503) 257-5673
Mailing address
PO BOX 26657, FRESNO, CA 93729-6657
(559) 892-2500
(559) 892-2444
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
14 1465
OR
Other
Enumeration date
11/21/2006
Last updated
10/10/2023
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