| NPI | 1821320128 |
|---|---|
| Doing Business As | PROVDIENCE MEDICAL GROUP |
| Doing Business As | PROVIDENCE MEDICAL GROUP OREGON CITY PULMONARY & CRITICAL CARE |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2025-07-04 |