Providence Health & Services - Oregon

NPI #1063963106 in Medford, Oregon

Provider Information

NPI Number
1063963106
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Clinic/Center
Enumeration Date
Oct 24, 2016
Last Updated
Oct 24, 2016

Practice Location

Address
1698 E MCANDREWS RD
Address 2
STE 300
State
Oregon
ZIP Code
97504-5589
Phone
(541) 732-7850

Authorized Official

Name
DR. KAREN KRONMAN, MD
Title
CEO
Phone
(541) 732-7792

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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