| Providence Medical Group | |
|
110 Center St Molalla OR 97038-0189 | |
| (034) 053-7777 | |
| Not Available |
| Full Name | Providence Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Center St, Molalla, Oregon |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY ENROLLMENTS) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group Po Box 3158 Portland OR 97208-3158 Ph: () - | Providence Medical Group 110 Center St Molalla OR 97038-0189 Ph: (034) 053-7777 |
| NPI Number | 1255641064 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255641064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Family Medical Group Of Molalla Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 861 W Main St, Molalla, OR 97038 Phone: 503-829-7374 Fax: 503-829-7347 | |
Molalla Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Center St, Molalla, OR 97038 Phone: 503-829-2273 Fax: 503-829-2291 | |
Molalla Chiropractic & Naturopathic Clinic P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 E Main St, Molalla, OR 97038 Phone: 503-829-2297 | |
Legacy Molalla Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 861 W Main St, Molalla, OR 97038 Phone: 503-874-5653 Fax: 503-874-5680 |