PROVIDENCE HEALTH & SERVICES-OREGON
Respite Care Facility at 47 Ave, Portland, OR

License number
Oregon 1700250565
Category
Nursing
Type
Nursing Facility/Intermediate Care Facility
License number
Oregon 1035453259
Category
Nursing
Type
Nursing Care, Pediatric
License number
Oregon 1035453259
Category
Respite Care Facility
Type
Respite Care, Physical Disabilities, Child
Owner
Name: PATRICIA JEAN BUDO LCSW, NHA, JD
Title: OPERATIONS ADMINISTRATOR
Phone: (503) 215-2413
Address
Address
830 NE 47Th Ave, Portland, OR 97213
National Provider ID: 1376625137
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVIDENCE HEALTH & SERVICES-OREGON at bizstanding.com

Providence Health & Services-Oregon, Inc

Portland, OR

Registration:
Feb 24, 2010
Addresses:
6410 NE Halsey St, Portland, OR 97213
1237 NE 47 Ave, Portland, OR 97213
State ID:
F10000000960
Business type:
Foreign Non Profit Corporation
Entity State:
FL
Directors:
Todd Hofheins (Treasurer, Vice President),Hochman Rod (President, Secretary),Cindy Strauss (Chairman, President),...

PROVIDENCE HEALTH & SERVICES-OREGON

Portland, OR

Status:
Inactive
Industry:
Intermediate Care Facility, Medical Equipment Rental Ret Misc Merchandise Equipment Rental/Leasing, Help Supply Services, ...
Doing business as:
Providence Health & Services-Oregon<br>Providence Specialty Pharmacy Services, Inc<br>Providence Health & Services<br>Health Services Oper for Ore
Registration:
Mar 3, 2010
Phone:
(503) 215-2273 (Phone), (503) 215-4956 (Phone), (503) 215-4663 (Phone), (425) 525-3355 (Phone), (503) 215-8583 (Phone), (503) 287-0065 (Phone)
Addresses:
6410 NE Halsey St STE 400, Portland, OR 97213 (Mailing)
1235 NE 47 Ave, Portland, OR 97213
State ID:
0801238771
Business type:
DBA PROVIDENCE SPECIALTY PHARMACY SERVICES, INC.
DIRECTOR, Directors:
John F. Koster (President),Rodney F. Hochman (President),Todd Hofheins (Treasurer),...
Agent:
Business Filings Incorporated,701 Brazos St SUITE 720, Austin, TX 78701 (Physical)
TIN:
32041353999

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