Providence Medical Group

LBN: Providence Health & Services Oregon
Providence Medical Group is an health care organization with primary practice located at 315 Se Stone Mill Dr Suite 102, Vancouver WA 98684-6987. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (360) 816-2700, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
315 Se Stone Mill Dr Suite 102 Vancouver WA 98684-6987
Phone: (360) 816-2700
Fax: (360) 816-2710
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1326294117
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 Aug 12th, 2008
Last updated Jun 6th, 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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