PROVIDENCE HEALTH & SERVICES - OREGON is a vascular surgery surgery in Medford, OR. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1750460283. The provider is registered as an organization entity type. The provider .
The provider's business location address is:
940 ROYAL AVE SUITE 420 MEDFORD, OR ZIP 97504-193 Phone: (541) 732-8388 Fax: (541) 732-8387
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.
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:
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
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
NPI Synchronization or Removal
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.
