NPI 1508949884
Providence Health & Services - Oregon
Practice location
- Address
- 1111 Crater Lake Ave, Medford, OR 97504-6241
- Phone
- (503) 215-4323
- Fax
- (503) 215-0297
- Mailing address
- PO Box 31001-4199, Pasadena, CA 91110-4199
Authorised official
- Name
- Donald W Anderson
- Title
- Assistant Secretary Enrollments
- Phone
- (425) 358-9786
Registered specialties
Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1508949884
- Entity type
- Organization
- NPI issued
- 23 Oct 2006
- Record last updated
- 27 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.