PROVIDENCE HEALTH & SERVICES - OREGON NPI 1063705887

NPI Details

PROVIDENCE HEALTH & SERVICES - OREGON is an internal medicine in Medford, OR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1063705887. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

920 ROYAL AVE
MEDFORD, OR
ZIP 97504-169
Phone: (541) 732-8400
Fax: (541) 732-8401

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary Enrollment and has the following contact phone number (425) 358-9786.

The CLIA number assigned to this NPI record is 38D2109826 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2011 and was last updated on 11/19/2025.

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: