PROVIDENCE HEALTH & SERVICES - OREGON NPI 1396019451

NPI Information

PROVIDENCE HEALTH & SERVICES - OREGON is a clinic center in Portland, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1396019451. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Thoracic Surgery.

The provider's business location address is:

4805 NE GLISAN ST
STE 6N50
PORTLAND, OR
ZIP 97213-933
Phone: (503) 215-2300

The provider's authorized official is Keenan B Freeman .
The authorized official title is Cfo and has the following contact phone number (503) 893-6524.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 12/12/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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