Providence Medical Group

LBN: Providence Health & Services Oregon
Providence Medical Group is an health care organization with primary practice located at 3101 Se 192Nd Ave Ste 103 , Vancouver WA 98683-1443. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (360) 666-4480, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
3101 Se 192Nd Ave Ste 103 Vancouver WA 98683-1443
Phone: (360) 666-4480
Fax: (360) 666-4485
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1356763619
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 Jan 6th, 2014
Last updated Feb 14th, 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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