| NPI | 1578854857 |
|---|---|
| Doing Business As | PROVIDENCE HEART CLINIC AT THE OREGON CLINIC GATEWAY |
| Doing Business As | PROVIDENCE MEDICAL GROP |
| Doing Business As | PROVIDENCE HEART CLINIC HOLLYWOOD |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2025-06-30 |