NPI 1487746491
Providence Health & Services Oregon
Practice location
- Address
- 2033 Commerce Dr, Medford, OR 97504-9744
- Phone
- (541) 732-6500
- Fax
- (541) 732-6504
- Mailing address
- 4400 NE Halsey St Building 1, STE 129, Portland, OR 97213-1545
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1487746491
- Entity type
- Organization
- NPI issued
- 28 Sep 2006
- Record last updated
- 15 May 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.