Providence Medical Group
LBN: Providence Health & Services - Oregon
Providence Medical Group is an health care organization with primary practice located at 5330 Ne Glisan St Suite 200, Portland OR 97213-3069. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (503) 215-9080, or through Anderson, Donald Wayne via phone (425) 525-5392.
Contact Information
Primary practice address
5330 Ne Glisan St Suite 200
Portland OR 97213-3069
Phone: (503) 215-9080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1891992624 |
|---|---|
| LBN Legal business name | Providence Health & Services - Oregon |
| DBA Doing business as | Providence Medical Group |
| Authorized official | Anderson, Donald Wayne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Jun 13th, 2024 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891992624 | NPPES |
| Oregon | MEDICAID | 006508 |
Popular Providers
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Kaiser Foundation Health Plan Of The Northwest
500 Ne Multnomah St , Portland OR 97232-2023 -
Reed Dermatology Northwest Llc
13305 Nw Cornell Rd Ste C , Portland OR 97229-5987 -
Portland Clinic
800 Sw 13Th Ave , Portland OR 97205 -
Nw Dermatology And Research Center, Llc
2525 Nw Lovejoy St Ste 400 , Portland OR 97210-2865 -
Larry Guerin Md
545 Ne 47Th Ave Suite 306, Portland OR 97213-2238 -
Northwest Permanente, P.C.
500 Ne Multnomah St Suite 100, Portland OR 97232-2023 -
Dermatology By Design Llc
1129 Nw 11Th Ave , Portland OR 97209-3469 -
Kaiser Foundation Health Plan Of The Northwest
500 Ne Multnomah St , Portland OR 97232-2023