| NPI | 1154539203 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Other Name | PMG/OREGON CITY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-06-20 |