PROVIDENCE PORLAND MEDICAL CENTER

Nursing Facility/Intermediate Care Facility

Active Organization
NPI: 1770776387

Practice Address

4805 NE GLISAN ST
Portland, OR 97213

Phone: (503) 215-1111

Specialties

Specialty Code Primary License
Nursing Facility/Intermediate Care Facility 313M00000X Yes 09000464RN (OR)

Frequently Asked Questions

NPI 1770776387 is the National Provider Identifier for PROVIDENCE PORLAND MEDICAL CENTER, a Nursing Facility/Intermediate Care Facility provider located in Portland, OR. This NPI was enumerated on August 27, 2007.

Quick Facts

NPI
1770776387
Type
Organization
Enumerated
Aug 27, 2007
Last Updated
Aug 27, 2007

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