NPI | 1518389873 |
---|---|
Doing Business As | PROVIDENCE MEDICAL GROUP OREGON CITY GENERAL SURGERY AT HAPPY VALLEY |
Entity Type | Organization |
Authorized Contact | KEENAN B FREEMAN CFO 503-893-6524 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2014-01-06 |
Last Update Date | 2014-12-30 |