Organization Name: | PROVIDENCE HEALTH & SERVICES-OREGON |
NPI Number: | 1205119781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN DOWLING (SYS DIR RC BUSINESS OPERATIONS) |
Mailing Address: | 101 Nw 12th Ave Suite 107 Battle Ground |
State: | WA US |
Postal Code: | 986049141 |
Phone Number: | 3606876655 |
Fax Number: | 3606876669 |
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. |