Organization
PROVIDENCE SEASIDE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY E WILSON (ADMINISTRATION ASSISTANT)
(503) 717-7728
Entity
Organization
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7000
Mailing address
741 BEACH DR, SEASIDE, OR 97138-5501
(503) 738-0880
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
087007000CRNA
OR
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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