Providence Medical Group

LBN: Providence Health And Services Oregon
Providence Medical Group is an health care organization with primary practice located at 315 Se Stonemill Dr Ste 220 , Vancouver WA 98684-6987. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Providence Health And Services Oregon can be contacted via phone (360) 687-6650, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
315 Se Stonemill Dr Ste 220 Vancouver WA 98684-6987
Phone: (360) 687-6650
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1366748550
LBN Legal business name Providence Health And Services Oregon
DBA Doing business as Providence Medical Group
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2011
Last updated Feb 2nd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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