| Providence Medical Group | |
|
10150 Se 32nd Ave Milwaukie OR 97222-6516 | |
| (503) 513-8336 | |
| Not Available |
| Full Name | Providence Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 10150 Se 32nd Ave, Milwaukie, 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 10150 Se 32nd Ave Milwaukie OR 97222-6516 Ph: (503) 513-8336 |
| NPI Number | 1881766061 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881766061 | NPI | - | NPPES |
| 278514 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Providence Medical Group Milwaukie Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Suite 305, Milwaukie, OR 97222 Phone: 503-513-1800 Fax: 503-513-1850 | |
Flow Natural Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11630 Se 40th Ave, Suite C, Milwaukie, OR 97222 Phone: 503-974-9283 Fax: 503-715-0446 | |
Providence Medical Group Anticoagulation Telephone Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Se Dwyer Dr, Suite 304, Milwaukie, OR 97222 Phone: 503-513-8043 | |
Northwest Primary Care Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10024 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-654-5666 | |
Neighborhood Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10330 Se 32nd Ave Ste 325, Milwaukie, OR 97222 Phone: 503-416-1960 Fax: 503-416-1959 | |
Outside In Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11300 Se 23rd Avenue, Milwaukie High School Health & Wellness Center, Milwaukie, OR 97222 Phone: 503-535-3861 Fax: 503-223-6837 | |
Marcus Cornwall, Dopc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6542 Se Lake Rd Ste 202, Milwaukie, OR 97222 Phone: 503-233-5273 Fax: 855-492-8902 |