| NPI | 1225378615 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Doing Business As | PROVIDENCE ST VINCENT HEART CLINIC HEART RHYTHM AT NEWBERG |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2025-07-04 |