PROVIDENCE MEDICAL GROUP – Surgery Physician, NPI 1730411034
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PROVIDENCE MEDICAL GROUP
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone: (503) 215-6494
Fax: (503) 215-6644
Type: Mailing
PO BOX 31001 - 4180
PASADENA, CA 911104180
Phone: (503) 215-6494
Fax: (503) 215-6644
Type: Mailing
1510, Division Street, Oregon City, Metro, Clackamas County, Oregon, 97045, United States
SUITE 210
OREGON CITY, OR 970451599
Phone: (503) 723-6525
Fax: (503) 723-6508
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97208)
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