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Organization
APP THREE RIVERS MEDICAL GROUP
Active
Organization
APP THREE RIVERS MEDICAL GROUP
Active
Parent organization
ASANTE PHYSICIAN PARTNER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASANTE PHYSICIAN PARTNER
Authorized official
STEFAN HARVEY (CFO)
(541) 789-5190
Entity
Organization
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7000
Mailing address
PO BOX 748157, LOS ANGELES, CA 90074-8157
(541) 789-5250
(541) 789-5538
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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