Providence Medical Group Camas is a
Clinic/center based in Vancouver, Washington. Providence Medical Group Camas is licensed to practice in * (Not Available) (license number ) and their current practice location is
3101 Se 192nd Ave, Suite 106, Vancouver, Washington. It can be reached at their office (for appointments etc.) via phone at
(360) 553-7400.
NPI number for Providence Medical Group Camas is 1669765244 and their current mailing address is Po Box 3158, Portland, Oregon. Providence Medical Group Camas
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1669765244.
Healthcare Provider's Profile
Full Name | Providence Medical Group Camas |
---|
Type | Facility |
---|
Speciality | Clinic/center |
---|
Location | 3101 Se 192nd Ave, Vancouver, Washington |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669765244
- Provider Enumeration Date: 05/16/2011
- Last Update Date: 09/25/2020
Medical Identifiers
Medical identifiers for Providence Medical Group Camas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669765244 | NPI | - | NPPES |
500634335 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Providence Medical Group Camas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Providence Medical Group Camas Po Box 3158, Portland, OR 97208-3158 Ph: () - | Providence Medical Group Camas 3101 Se 192nd Ave, Suite 106, Vancouver, WA 98683-1443 Ph: (360) 553-7400 |
Reviews and Comments