1316024128 PROVIDENCE HEALTH & SERVICES - OREGON
Child & Adolescent Psychiatry Physician
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH & SERVICES - OREGON
- Enumeration Date
- November 1, 2006
- Last Update
- May 12, 2025
- Authorized Official
- DONALD W ANDERSON JR.
ASSISTANT SECRETARY ENROLLMENT
Phone: (425) 358-9786
Practice Location
- Address
- 840 ROYAL AVE
SUITE 110
MEDFORD, OR 975046461 - Phone
- (541) 732-8370
- Fax
- (541) 732-8371
Mailing Address
- Address
- PO BOX 3158
PORTLAND, OR 972083158 - Phone
- (503) 215-6494
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Clinic/Center | N/A | N/A | No |
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | No |
| Child & Adolescent Psychiatry Physician Child & Adolescent Psychiatry | 2084P0804X | Psychiatry & Neurology | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG6801 | 01 | OR | RAIL ROAD MEDICARE |
Frequently Asked Questions
What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1316024128.
Which doctor has NPI number 1316024128?
The doctor with NPI number 1316024128 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 840 ROYAL AVE, SUITE 110, MEDFORD, OR, 975046461.
Which doctor practices at 840 ROYAL AVE, SUITE 110, MEDFORD, OR, 975046461?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 840 ROYAL AVE, SUITE 110, MEDFORD, OR, 975046461.
What is PROVIDENCE HEALTH & SERVICES - OREGON's mailing address?
PROVIDENCE HEALTH & SERVICES - OREGON's mailing address is PO BOX 3158, PORTLAND, OR, 972083158.
What is PROVIDENCE HEALTH & SERVICES - OREGON's phone number?
PROVIDENCE HEALTH & SERVICES - OREGON's phone number is (541) 732-8370.
Who is (541) 732-8370?
(541) 732-8370 is the phone number for PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's specialty?
PROVIDENCE HEALTH & SERVICES - OREGON's specialty is Child & Adolescent Psychiatry Physician.
What type of doctor is PROVIDENCE HEALTH & SERVICES - OREGON?
PROVIDENCE HEALTH & SERVICES - OREGON is a Child & Adolescent Psychiatry Physician.
Is PROVIDENCE HEALTH & SERVICES - OREGON a Child & Adolescent Psychiatry?
Yes, PROVIDENCE HEALTH & SERVICES - OREGON is a Child & Adolescent Psychiatry.
Is PROVIDENCE HEALTH & SERVICES - OREGON still practicing?
Yes, PROVIDENCE HEALTH & SERVICES - OREGON is currently practicing.
Is PROVIDENCE HEALTH & SERVICES - OREGON accepting new patients?
PROVIDENCE HEALTH & SERVICES - OREGON may be accepting new patients. Please call their office at (541) 732-8370 to inquire about availability.
Is NPI 1316024128 still active?
Yes, NPI 1316024128 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in MEDFORD, OR.