Providence Medical Group Milwaukie Family Medicine
LBN: Providence Health & Services - Oregon
Providence Medical Group Milwaukie Family Medicine is an health care organization with primary practice located at 10330 Se 32Nd Ave Suite 205, Milwaukie OR 97222-6594. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (503) 513-8950, or through Anderson, Donald W via phone (425) 525-5392.
Contact Information
Primary practice address
10330 Se 32Nd Ave Suite 205
Milwaukie OR 97222-6594
Phone: (503) 513-8950
Fax: (503) 513-8951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1699870873 |
|---|---|
| LBN Legal business name | Providence Health & Services - Oregon |
| DBA Doing business as | Providence Medical Group Milwaukie Family Medicine |
| Authorized official | Anderson, Donald W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699870873 | NPPES |
| Oregon | MEDICAID | 022861 |
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