Providence Health & Services - Oregon

LBN: Providence Health & Services - Oregon
Providence Health & Services - Oregon is an health care organization with primary practice located at 70 Bower Dr , Medford OR 97501-3689. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Providence Health & Services - Oregon can be contacted via phone (541) 734-3430, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
70 Bower Dr Medford OR 97501-3689
Phone: (541) 734-3430
Fax: (541) 734-3638
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1346619467
LBN Legal business name Providence Health & Services - Oregon
DBA Doing business as
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2015
Last updated Jan 16th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346619467 NPPES
Oregon MEDICAID 500692938

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