<Unavail>
LBN: Providence Health & Services - Oregon
<Unavail> is an health care organization with primary practice located at 3225 Hillcrest Park Drive , Medford OR 97504. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (541) 774-5700, or through Anderson, Donald Wayne via phone (425) 358-9786.
Contact Information
Primary practice address
3225 Hillcrest Park Drive
Medford OR 97504
Phone: (541) 774-5700
Fax: (541) 734-3638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1710356001 |
|---|---|
| LBN Legal business name | Providence Health & Services - Oregon |
| DBA Doing business as | <Unavail> |
| Authorized official | Anderson, Donald Wayne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2015 |
| Last updated | Nov 19th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710356001 | NPPES |
| Oregon | MEDICAID | 500692785 |
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