Providence Health & Services - Oregon

NPI #1447799523 in Medford, Oregon

Provider Information

NPI Number
1447799523
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty
Internal Medicine
Enumeration Date
Feb 22, 2017
Last Updated
Nov 19, 2025

Practice Location

Address
1698 E MCANDREWS RD STE 160
State
Oregon
ZIP Code
97504-5590
Phone
(541) 732-6070

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Internal Medicine

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