| Providence Medical Group Happy Valley Immediate Care | |
|
16180 Se Sunnyside Rd Suite 102 Happy Valley OR 97015-6302 | |
| (503) 582-4900 | |
| (503) 582-4999 |
| Full Name | Providence Medical Group Happy Valley Immediate Care |
|---|---|
| Speciality | Clinic/center |
| Location | 16180 Se Sunnyside Rd, Happy Valley, Oregon |
| Authorized Official Name and Position | Donald Wayne Anderson (ASST SEC FOR ENROLLMENT/DIR REIMB S) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group Happy Valley Immediate Care Po Box 3158 Portland OR 97208-3158 Ph: () - | Providence Medical Group Happy Valley Immediate Care 16180 Se Sunnyside Rd Suite 102 Happy Valley OR 97015-6302 Ph: (503) 582-4900 |
| NPI Number | 1245567809 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245567809 | NPI | - | NPPES |
| 500617238 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Paula M Crone, Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9200 Se 91st Ave Ste 220, Happy Valley, OR 97086 Phone: 503-239-7030 Fax: 503-329-7220 | |
Zenith Healthcare Partners Inc Of Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8305 Se Monterey Ave Ste 211, Happy Valley, OR 97086 Phone: 503-878-2040 Fax: 951-351-1104 | |
Sunrise Corporate Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9300 Se 91st Ave Ste 201, Happy Valley, OR 97086 Phone: 503-387-7111 Fax: 503-567-7706 | |
Rosecity Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11397 Se Cascade View Ct, Happy Valley, OR 97086 Phone: 503-780-1107 | |
Providence Medical Group Happy Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16180 Se Sunnyside Road, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Creekside Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9200 Se 91st Ave, Suite #220, Happy Valley, OR 97086 Phone: 503-239-7030 Fax: 503-239-7220 |