Providence Medical Group is a Psychology Clinic in Portland, Oregon. It is located at 4104 Se 82nd Ave, Suite 250, Portland, OR and its contact number is 503-215-9850. The authorized person for Providence Medical Group is Mr. Donald W Anderson Jr.
who is Asst Sec Enroll of the clinic and his/her contact number is 425-525-5392. Providence Medical Group Clinic specialize in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
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:
General Psychology
Clinic Address:
4104 Se 82nd Ave, Suite 250, Portland, Oregon, 97266-2954
Phone:
503-215-9850
Fax:
503-215-9855
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:
Mr. Donald W Anderson Jr.
Position:
Asst Sec Enroll
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:
1679678866
NPI Enumeration Date:
13 Sep, 2006
NPI Last Update On:
13 Jun, 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
Family Medicine
Primary
Psychologist
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
022860
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 4104 Se 82nd Ave, Suite 250, Portland, Oregon or can call to book an appointment on 503-215-9850. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.