NPI 1346619467
Providence Health & Services - Oregon
Practice location
- Address
- 70 Bower Dr, Medford, OR 97501-3689
- Phone
- (541) 734-3430
- Fax
- (541) 734-3638
- Mailing address
- PO Box 31001 - 4180, Pasadena, CA 91110-4180
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assistant Secretary Enrollment
- Phone
- (425) 358-9786
Registered specialties (6)
Family Medicine Physician
Primary
Internal Medicine Physician
Orthopaedic Surgery Physician
Child & Adolescent Psychiatry Physician
Geriatric Psychiatry Physician
Clinic/Center
Registry record
- NPI
- 1346619467
- Entity type
- Organization
- NPI issued
- 18 Sep 2015
- Record last updated
- 19 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.