Organization
PROVIDENCE MILWAUKIE HOSPITAL
Active
Parent organization
PROVIDENCE MILWAUKIE HOSPITAL
Other names
PROVIDENCE HOSPITALISTS SOUTHEAST
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE MILWAUKIE HOSPITAL
Authorized official
ERIC OLSON (CHIEF FINANCE OFFICER)
(503) 513-8308
Entity
Organization
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 513-8336
Mailing address
PO BOX 3349, PORTLAND, OR 97208-3349
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023300
—
OR
Enumeration date
04/02/2007
Last updated
10/30/2007
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