Providence Health & Services - Oregon

NPI #1689755670 in Medford, Oregon

Provider Information

NPI Number
1689755670
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Primary Specialty
General Acute Care Hospital
Enumeration Date
Oct 18, 2006
Last Updated
May 27, 2025

Practice Location

Address
1111 CRATER LAKE AVE
State
Oregon
ZIP Code
97504-6241
Phone
(503) 451-3000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Emergency Medicine
Internal Medicine
Nuclear Medicine
Obstetrics & Gynecology
Pathology - Anatomic Pathology & Clinical PathologyAnatomic Pathology & Clinical Pathology
General Acute Care Hospital

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