Providence Medical Group is a Psychiatry Clinic in Sherwood, Oregon. It is located at 16770 Sw Edy Rd, Suite 102, Sherwood, OR and its contact number is 503-216-9600. The authorized person for Providence Medical Group is Donald Wayne Anderson Jr.
who is Asst Sec For Enrollment of the clinic and his/her contact number is 425-525-5392. Providence Medical Group Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
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:
Psychiatry
Clinic Address:
16770 Sw Edy Rd, Suite 102, Sherwood, Oregon, 97140-9679
Phone:
503-216-9600
Fax:
503-216-9650
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:
Asst Sec For 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:
1184729329
NPI Enumeration Date:
13 Sep, 2006
NPI Last Update On:
29 Aug, 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
Internal Medicine
Primary
Family Medicine
Secondary
Pediatrics
Secondary
Child & Adolescent Psychiatry
Secondary
Geriatric Psychiatry
Secondary
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
500400324
Medicaid
Oregon
022851
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:
503-215-6494
Fax Number:
503-215-6644
Patients can reach Providence Medical Group at 16770 Sw Edy Rd, Suite 102, Sherwood, Oregon or can call to book an appointment on 503-216-9600. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.