Providence Medical Group is a Neurology Clinic in Portland, Oregon. It is located at 5050 Ne Hoyt St Ste 315, Portland, OR and its contact number is 503-215-8580. The authorized person for Providence Medical Group is Donald Wayne Anderson Jr.
who is Assistant Secretary Enrollments of the clinic and his/her contact number is 425-525-5392. Providence Medical Group Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Providence Medical Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Medical Group
Specialization:
Neurology
Clinic Address:
5050 Ne Hoyt St Ste 315, Portland, Oregon, 97213-2982
Phone:
503-215-8580
Fax:
971-282-0125
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Donald Wayne Anderson Jr.
Position:
Assistant Secretary Enrollments
Contact Number:
425-525-5392
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Medical Group clinic are as mentioned below.
NPI Number:
1578807418
NPI Enumeration Date:
15 Nov, 2012
NPI Last Update On:
01 Oct, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Medical Group are as mentioned below.
Specialization
License Number
State
Status
Neurology
Primary
Clinic/center
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500653793
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Medical Group Po Box 3158, Portland, Oregon
Zip:
97208-3158
Phone Number:
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Fax Number:
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Patients can reach Providence Medical Group at 5050 Ne Hoyt St Ste 315, Portland, Oregon or can call to book an appointment on 503-215-8580. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.