Providence Portland Medical Center
May also be knows as Providence Integrative Medicine East
Clinic/Center in Portland, OR(View on Map)
Legal Business Name
Providence Portland Medical Center
Also Known As
Providence Integrative Medicine East
NPI Number
1134355985
NPI Type
Organization
Enumeration Date
06/08/2009
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 3158
4805 NE GLISAN ST
City
Portland
Portland
State
OR
OR
Postal Code
97208-3158
97213-2933
Country
US
US
Telephone Number
N/A
(503) 215-6503
Authorized Official
Name
William Olson
Title or Position
CHIEF FINANCIAL OFFICER
Telephone Number
(503) 215-7384
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/08/2009
Provider Address
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