Providence Health & Services - Oregon

NPI #1437469087 in Medford, Oregon

Provider Information

NPI Number: 1437469087
Entity Type: Organization
Organization Name: Providence Health & Services - Oregon
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty: Family Medicine
Enumeration Date: Oct 18, 2010
Last Updated: Nov 19, 2025

Practice Location

Address: 827 SPRING ST
City: Medford
State: Oregon
ZIP Code: 97504-6104
Phone: (541) 732-7600

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Family Medicine	207Q00000X	Primary

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