Providence Medical Group

LBN: Providence Health & Services Oregon
Providence Medical Group is an health care organization with primary practice located at 4400 Ne Halsey St, Bldg 2 Ste 599, Portland OR 97213-9721. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 215-2110, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
4400 Ne Halsey St, Bldg 2 Ste 599 Portland OR 97213-9721
Phone: (503) 215-2110
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X

Profile Details

NPI number 1033804091
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 Apr 6th, 2023
Last updated Apr 4th, 2024 - about 2 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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