Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Parent organization
PROVIDENCE HEALTH & SERVICES - OREGON
Other names
Providence Seaside Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES - OREGON
Authorized official
MS. KATHLEEN DOWLING (SYS DIR RC BUSINESS OPERATIONS)
(503) 215-4323
Entity
Organization
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7000
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
(503) 215-4323
(503) 215-0297
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000ZGBGT
PART B MEDICARE PTAN
OR
05
—
500400279
—
OR
Enumeration date
11/20/2006
Last updated
09/26/2011
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