Providence Health & Services - Oregon

NPI #1710356001 in Medford, Oregon

Provider Information

NPI Number
1710356001
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Family Medicine
Enumeration Date
Sep 17, 2015
Last Updated
Nov 19, 2025

Practice Location

Address
3225 HILLCREST PARK DRIVE
State
Oregon
ZIP Code
97504
Phone
(541) 774-5700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Family Medicine

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