Providence Health & Services Oregon
May also be knows as Providence Medford Medical Center
Clinic/Center in Medford, OR(View on Map)
Legal Business Name
Providence Health & Services Oregon
Also Known As
Providence Medford Medical Center
NPI Number
1093976243
NPI Type
Organization
Enumeration Date
06/20/2008
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 3308
1111 CRATER LAKE AVE
City
Portland
Medford
State
OR
OR
Postal Code
97208-3308
97504-6241
Country
US
US
Telephone Number
(541) 732-5250
(541) 732-5250
Authorized Official
Name
Donald Anderson
Title or Position
ASST SEC FOR ENROLLMENT/DIR REIMB S
Telephone Number
(425) 525-5392
Identifiers
Identifier
500617088
Identifier State
OR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/27/2021
Provider Address
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