Organization
PROVIDENCE HEALTH & SERVICES OREGON
Active
Other names
Providence Portland Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE JEAN MOUNTS (CHIEF REIMBURSEMENT OFFICER)
(425) 687-3910
Entity
Organization
Contact information
Practice address
5228 NE HOYT ST, BUILDING B, PORTLAND, OR 97213-3055
(503) 574-9200
Mailing address
PO BOX 3395, PORTLAND, OR 97208-3395
(503) 215-4323
(503) 215-0297
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
700006
OR
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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