PROVIDENCE HEALTH & SERVICES OREGON NPI 1558693291

NPI Information

  • NPI: 1558693291
  • Provider Name: PROVIDENCE HEALTH & SERVICES OREGON
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • :
  • Address: 840 ROYAL AVE
    SUITE 120
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 732-5566

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NPI Details

PROVIDENCE HEALTH & SERVICES OREGON is a durable medical equipment medical supplies in Medford, OR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PROVIDENCE HEALTH & SERVICES OREGON NPI is 1558693291. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

840 ROYAL AVE
SUITE 120
MEDFORD, OR
ZIP 97504-461
Phone: (541) 732-5566
Fax: (541) 732-5503

The provider's authorized official is Donald W 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 2/5/2010 and was last updated on 5/16/2025.

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
13336H0001XPharmacyHome Infusion Therapy PharmacyNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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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