Providence Medical Group Scholls Pediatrics

LBN: Providence Health & Services - Oregon
Providence Medical Group Scholls Pediatrics is an health care organization with primary practice located at 12442 Sw Scholls Ferry Rd Suite 205, Tigard OR 97223-0804. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 216-9140, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
12442 Sw Scholls Ferry Rd Suite 205 Tigard OR 97223-0804
Phone: (503) 216-9140
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1093135535
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Providence Medical Group Scholls Pediatrics
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2014
Last updated Jan 13th, 2021 - about 5 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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