Providence Health & Services-Oregon

NPI #1205119781 in Battle Ground, Washington

Provider Information

NPI Number
1205119781
Entity Type
Organization
Organization Name
Providence Health & Services-Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES-OREGON
Primary Specialty
Radiologic Technologist
Enumeration Date
Sep 21, 2011
Last Updated
Jan 11, 2012

Practice Location

Address
101 NW 12TH AVE
Address 2
SUITE 107
ZIP Code
98604-9141
Phone
(360) 687-6655

Authorized Official

Name
KATHLEEN DOWLING
Title
SYS DIR RC BUSINESS OPERATIONS
Phone
(503) 215-4323

Specialties & Taxonomy Codes

Specialty
Radiologic Technologist

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