Providence Health & Services Oregon

NPI #1386713972 in Medford, Oregon

Provider Information

NPI Number
1386713972
Entity Type
Organization
Organization Name
Providence Health & Services Oregon
Primary Specialty
Family Medicine
Enumeration Date
Nov 7, 2006
Last Updated
Nov 19, 2025

Practice Location

Address
1698 E MCANDREWS RD
Address 2
SUITE 300
State
Oregon
ZIP Code
97504-5589
Phone
(541) 732-7950

Authorized Official

Name
DONALD WAYNE ANDERSON JR.
Title
ASSISTANT SECRETARY ENROLLMENT
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - Child & Adolescent PsychiatryChild & Adolescent Psychiatry
Family Medicine

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