Providence Medical Group Milwaukie

LBN: Providence Health & Services - Oregon
Providence Medical Group Milwaukie is an health care organization with primary practice located at 10330 Se 32Nd Ave Suite 305, Milwaukie OR 97222-6596. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 513-1800, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
10330 Se 32Nd Ave Suite 305 Milwaukie OR 97222-6596
Phone: (503) 513-1800
Fax: (503) 513-1850
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1013086875
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Medical Group Milwaukie
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 15th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013086875 NPPES
Oregon MEDICAID 022826

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