| NPI | 1750631784 |
|---|---|
| Doing Business As | PROVIDENCE HOOD RIVER ENT |
| 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 | 207Y00000X Otolaryngology |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2025-07-04 |