NPI | 1326294117 |
---|---|
Doing Business As | PROVIDENCE MEDICAL GROUP |
Doing Business As | PROVIDENCE MEDICAL GROUP MILL PLAIN |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Asst Secretary For Enrollments/ EVP 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207RG0300X Internal Medicine, Geriatric Medicine | |
225100000X Physical Therapist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2024-06-06 |