Organization
OHSU MEDICAL GROUP
Active
Parent organization
OHSU MEDICAL GROUP
Other names
OHSU Medical Group in Longview
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHSU MEDICAL GROUP
Authorized official
DAVID CRAWFORD (CHIEF FINANCIAL OFFICER)
(503) 494-9616
Entity
Organization
Contact information
Practice address
1060 HUDSON ST, LONGVIEW, WA 98632-3103
(360) 414-1388
Mailing address
2241 LLOYD CENTER, PORTLAND, OR 97232-1315
(503) 494-8417
(503) 494-4455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
Other
Enumeration date
01/29/2008
Last updated
02/29/2008
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