Organization · Type 2 NPI

Providence Health & Services MT

Family Medicine Physician · Missoula, MT

NPI number 1760618938 Active

Practice location

900 N Orange St, Suite 107
Missoula, MT 59802-2951

Call (406) 329-5776 Map

Mailing address

PO Box 34439
Seattle, WA 98124-1439

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

35 other providers at this address

Other family medicine physician providers in Missoula

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NPI record

NPI: 1760618938
Entity type: Organization (Type 2)
Issued: Jun 2, 2009
Last updated: May 7, 2025
Status: Active
Subpart: Yes of Providence Health & Services

Other names

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SPH First Step · doing business as

Authorized official

Donald Wayne Anderson
Assistnat Secretary Enrollments
(425) 358-9786

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760618938

Providence Health & Services MT's National Provider Identifier is 1760618938, issued on Jun 2, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Missoula, MT. The record was last updated on May 7, 2025.