PROVIDENCE HEALTH & SERVICES OREGON NPI 1982146064

NPI Information

PROVIDENCE HEALTH & SERVICES OREGON is an endocrinology and diabetes and metabolism internal medicine in Medford, OR. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1982146064. The provider is registered as an organization entity type.
The provider Is Doing Business As Pmg Gastroenterology.

The provider's business location address is:

1698 E MCANDREWS RD STE 400
MEDFORD, OR
ZIP 97504-590
Phone: (541) 732-8500
Fax: (541) 732-8501

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Corp Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 11/7/2016 and was last updated on 5/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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