Organization · Type 2 NPI

Providence ST Vincent Medical Center

Clinic/Center · Portland, OR

NPI number 1033345012 Active

Practice location

9135 SW Barnes Rd, Suite 161
Portland, OR 97225-6601

Call (503) 216-0246 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: 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).

56 other providers at this address

Other clinic/center providers in Portland

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NPI record

NPI: 1033345012
Entity type: Organization (Type 2)
Issued: Jun 4, 2009
Last updated: Jun 4, 2009
Status: Active
Subpart: Yes of Providence ST Vincent Medical Center

Other names

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Providence Integrative Medicine West · doing business as

Authorized official

Dennis Noonan
Chief Finance Officer
(503) 216-4657

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033345012

Providence ST Vincent Medical Center's National Provider Identifier is 1033345012, issued on Jun 4, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Portland, OR. The record was last updated on Jun 4, 2009.