Providence Health & Services - Oregon
NPI #1992031595 in Eagle Point, Oregon
Provider Information
- NPI Number
- 1992031595
- 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
- Nov 2, 2009
- Last Updated
- Nov 19, 2025
Practice Location
- Address
- 1332 S SHASTA AVE
- Address 2
- SUITE A
- City
- Eagle Point
- State
- Oregon
- ZIP Code
- 97524-8623
- Phone
- (541) 826-8160
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry |
| Psychiatry & Neurology - Geriatric Psychiatry — Geriatric Psychiatry |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Family Medicine |
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