| Providence Medical Group Oregon City Spine Center | |
|
1510 Division St Ste 170 Oregon City OR 97045-1581 | |
| (503) 650-6288 | |
| (503) 650-6884 |
| Full Name | Providence Medical Group Oregon City Spine Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1510 Division St, Oregon City, Oregon |
| Authorized Official Name and Position | Keenan B Freeman (CFO) |
| Authorized Official Contact | 5038936524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group Oregon City Spine Center Po Box 3158 Portland OR 97208-3158 Ph: (503) 215-6494 | Providence Medical Group Oregon City Spine Center 1510 Division St Ste 170 Oregon City OR 97045-1581 Ph: (503) 650-6288 |
| NPI Number | 1194057497 |
|---|---|
| Provider Enumeration Date | 02/11/2010 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194057497 | NPI | - | NPPES |
| 500620086 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Oregon City Family Practice Clinic,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1420 John Adams St, Oregon City, OR 97045 Phone: 503-656-1484 Fax: 503-650-1976 | |
24 On Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-656-1631 | |
Samuel Sabo Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18171 Waldow Rd, Oregon City, OR 97045 Phone: 503-655-6044 Fax: 503-575-9171 | |
Pmg/oregon City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Division St Ste 200, Oregon City, OR 97045 Phone: 503-650-6880 Fax: 503-650-6888 | |
Gastroenterology Specialists Of Oregon Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 Division St, Suite 15, Oregon City, OR 97045 Phone: 503-657-5555 Fax: 503-657-6502 | |
Oregon City Wellness & Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Division St, Oregon City, OR 97045 Phone: 503-655-5327 Fax: 503-722-4499 |