Prov Peds Neurology Longview

LBN: Providence Health & Services Oregon
Prov Peds Neurology Longview is an health care organization with primary practice located at 971 11Th Ave , Longview WA 98632-2503. 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 (360) 577-1771, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
971 11Th Ave Longview WA 98632-2503
Phone: (360) 577-1771
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

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

Profile Details

NPI number 1104097906
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Prov Peds Neurology Longview
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 19th, 2008
Last updated Nov 13th, 2018 - about 7 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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