| NPI | 1336543560 |
|---|---|
| Doing Business As | PROVIDENCE NEUROLOGICAL SPECIALTIES MILL PLAIN |
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2025-07-04 |