Providence Health & Services - Oregon

NPI #1770913295 in Ashland, Oregon

Provider Information

NPI Number
1770913295
Entity Type
Organization
Organization Name
Providence Health & Services - Oregon
Primary Specialty
Internal Medicine
Enumeration Date
Nov 19, 2013
Last Updated
Nov 19, 2025

Practice Location

Address
1661 HIGHWAY 99 N
Address 2
BUILDING A, STE 1100
State
Oregon
ZIP Code
97520-8900
Phone
(541) 732-6264

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center
Internal Medicine

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