| Organization Name: | PROVIDENCE HEALTH & SERVICES-OREGON |
| NPI Number: | 1073896551 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN DOWLING (SYS DIR RC BUSINESS OPERATIONS) |
| Mailing Address: | 315 Se Stone Mill Dr Suite 102 Vancouver |
| State: | WA US |
| Postal Code: | 986846998 |
| Phone Number: | 3608162733 |
| Fax Number: | 3608162710 |
| NPI Enumeration Date: | 09/21/2011 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |