PROVIDENCE HEALTH & SERVICES OREGON NPI 1386713972

NPI Information

  • NPI: 1386713972
  • Provider Name: PROVIDENCE HEALTH & SERVICES OREGON
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • Address: 1698 E MCANDREWS RD
    SUITE 300
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 732-7950

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NPI Details

PROVIDENCE HEALTH & SERVICES OREGON is a family medicine in Medford, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1386713972. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

1698 E MCANDREWS RD
SUITE 300
MEDFORD, OR
ZIP 97504-589
Phone: (541) 732-7950
Fax: (541) 732-7901

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 enumeration date for this NPI number is 11/7/2006 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1288499MEDICAIDOREGON
2CG6801OTHEROREGONRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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