PROVIDENCE HEALTH & SERVICES - OREGON NPI 1487733929

NPI Information

NPI: 1487733929
Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON
Classification: Internal Medicine - 207RI0011X
Specialization: Interventional Cardiology
Entity Type: Organization
:
Address: 1698 E MCANDREWS RD
SUITE 300
MEDFORD, OR
ZIP 97504
Phone: (541) 732-7850

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NPI Details

PROVIDENCE HEALTH & SERVICES - OREGON is an interventional cardiology internal medicine in Medford, OR. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1487733929. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1698 E MCANDREWS RD
SUITE 300
MEDFORD, OR
ZIP 97504-589
Phone: (541) 732-7850
Fax: (541) 732-7851

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 11/3/2006 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
1	261Q00000X	Clinic/Center				No
2	207RI0011X	Internal Medicine	Interventional Cardiology			Yes

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
1	278306	MEDICAID	OREGON
2	CG6801	OTHER	OREGON	RAIL ROAD 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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