PROVIDENCE HEALTH & SERVICES-OREGON NPI 1124343215

NPI Information

PROVIDENCE HEALTH & SERVICES-OREGON is a dental clinic center in Portland, OR. PROVIDENCE HEALTH & SERVICES-OREGON NPI is 1124343215. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Child Center.

The provider's business location address is:

830 NE 47TH AVE
ATTN: DENTAL CLINIC
PORTLAND, OR
ZIP 97213-212
Phone: (503) 215-2400
Fax: (503) 215-0660

The provider's authorized official is Patricia Jean Budo .
The authorized official title is Operations Administrator and has the following contact phone number (503) 215-2413.

The enumeration date for this NPI number is 3/31/2010 and was last updated on 3/31/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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