Pmg Bethany

LBN: Providence Health & Services - Oregon
Pmg Bethany is an health care organization with primary practice located at 15640 Nw Laidlaw Rd Suite 102, Portland OR 97229-3828. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 764-0100, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
15640 Nw Laidlaw Rd Suite 102 Portland OR 97229-3828
Phone: (503) 764-0100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1861513731
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Pmg Bethany
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Jun 13th, 2024 - about 6 months 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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