Providence Medical Group is a Addiction Psychiatry Clinic in Portland, Oregon. It is located at 4400 Ne Halsey St, Bldg 2, Ste 599, Portland, OR and its contact number is 503-215-2110. The authorized person for Providence Medical Group is Donald Wayne Anderson Jr.
who is Assistant Secretary Of Enrollment of the clinic and his/her contact number is 425-525-5392. Other organizations associated with this clinic are Providence Health & Services Oregon, Providence Health & Services Oregon, Providence Medical Group Clinic focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
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.
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 Of Enrollment
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:
1033804091
NPI Enumeration Date:
06 Apr, 2023
NPI Last Update On:
04 Apr, 2024
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Providence Health & Services Oregon
Addiction Psychiatry
1033804091
Providence Health & Services Oregon
Psychiatry
1760177737
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
Addiction Psychiatry
Primary
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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Patients can reach Providence Medical Group at 4400 Ne Halsey St, Bldg 2, Ste 599, Portland, Oregon or can call to book an appointment on 503-215-2110. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.