| Providence Medical Group | |
|
29345 Sw Town Center Loop E Suite 110 Wilsonville OR 97070-8486 | |
| (503) 582-2100 | |
| Not Available |
| Full Name | Providence Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 29345 Sw Town Center Loop E, Wilsonville, Oregon |
| Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC FOR ENROLLMENT) |
| 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 29345 Sw Town Center Loop E Suite 110 Wilsonville OR 97070-8486 Ph: (503) 582-2100 |
| NPI Number | 1245489087 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245489087 | NPI | - | NPPES |
| 500605247 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Peak Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8770 Sw Illahee Ct Apt 310, Wilsonville, OR 97070 Phone: 360-718-0968 Fax: 503-536-6671 | |
Healing Presence Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30250 Sw Parkway Ave, Suite 7, Wilsonville, OR 97070 Phone: 503-819-9726 | |
Willamette Integrative Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25195 Sw Parkway Ave, Suite 210, Wilsonville, OR 97070 Phone: 971-245-2185 | |
Beloved Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25195 Sw Parkway Ave Ste 200, Wilsonville, OR 97070 Phone: 971-419-3195 | |
Melethil Acupuncture Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8755 Sw Citizens Dr Ste 101, Suite 101, Wilsonville, OR 97070 Phone: 503-682-9319 | |
Heartwood Healing Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29781 Sw Town Center Loop W, Suite 700, Wilsonville, OR 97070 Phone: 503-388-6583 |