Providence Health & Services - Oregon
Clinic/Center in Medford, OR(View on Map)
Legal Business Name
Providence Health & Services - Oregon
NPI Number
1710356001
NPI Type
Organization
Enumeration Date
09/17/2015
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
PO BOX 3158
3225 HILLCREST PARK DRIVE
City
Portland
Medford
State
OR
OR
Postal Code
97208-3158
97504
Country
US
US
Telephone Number
(541) 734-3430
(541) 774-5700
Authorized Official
Name
Donald Anderson
Title or Position
ASST SECRETARY FOR ENROLLMENT
Telephone Number
(425) 525-5392
Identifiers
Identifier
500692785
Identifier State
OR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/28/2018
Provider Address
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