Prov Health Sys-Or Shared-Svs Div

NPI #1184918955 in Portland, Oregon

Provider Information

NPI Number: 1184918955
Entity Type: Organization
Organization Name: Prov Health Sys-Or Shared-Svs Div
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty: Clinic/Center - Community Health
Enumeration Date: Jun 8, 2011
Last Updated: Jun 8, 2011

Practice Location

Address: 9340 SW BARNES RD
Address 2: SUITE 200
City: Portland
State: Oregon
ZIP Code: 97225-6623
Phone: (503) 216-5641

Authorized Official

Name: MS. REBECCA MARIE WILLIAMS
Title: FINANCE DIRECTOR - AMB SERVICES
Phone: (503) 893-6863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Community Health — Community Health	261QC1500X	Primary

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