Pmg Newberg Surgical Services

LBN: Providence Health & Services - Oregon
Pmg Newberg Surgical Services is an health care organization with primary practice located at 310 Villa Rd Suite 104, Newberg OR 97132-1886. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (503) 537-1508, or through Neyhart, Mitchell via phone (503) 574-9840.

Contact Information

Primary practice address
310 Villa Rd Suite 104 Newberg OR 97132-1886
Phone: (503) 537-1508
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Neyhart, Mitchell
Phone: (503) 574-9840

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1629146121
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as Pmg Newberg Surgical Services
Authorized official Neyhart, Mitchell
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2006
Last updated Apr 16th, 2010 - about 16 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 1629146121 NPPES
Oregon MEDICAID 022849

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