Pmg/Oregon City

LBN: Providence Health & Services
Pmg/Oregon City is an health care organization with primary practice located at 1510 Division St Ste 200 , Oregon City OR 97045-1599. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Providence Health & Services can be contacted via phone (503) 650-6880, or through Walker, Sharon K via phone (503) 215-6631.

Contact Information

Primary practice address
1510 Division St Ste 200 Oregon City OR 97045-1599
Phone: (503) 650-6880
Fax: (503) 650-6888
Website:
Map and Directions
Authorized official contact:
Name: Walker, Sharon K CMSC
Phone: (503) 215-6631

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1154539203
LBN Legal business name Providence Health & Services
DBA Doing business as Pmg/Oregon City
Authorized official Walker, Sharon K CMSC
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Feb 21st, 2011 - about 15 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 1154539203 NPPES
Oregon MEDICAID 067983

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