1568547503 PROVIDENCE HEALTH & SERVICES OREGON
Family Medicine Physician
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH & SERVICES OREGON
- Enumeration Date
- October 26, 2006
- Last Update
- May 12, 2025
- Authorized Official
- DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY ENROLLMENT
Phone: (425) 358-9786
Practice Location
- Address
- 965 ELLENDALE DR
MEDFORD, OR 975048215 - Phone
- (541) 732-6000
- Fax
- (541) 732-6005
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 | No |
| Geriatric Psychiatry Physician Geriatric Psychiatry | 2084P0805X | Psychiatry & Neurology | N/A | N/A | No |
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288515 | 05 | OR | N/A |
| CG6801 | 01 | OR | RAILROAD MEDICARE |
Frequently Asked Questions
What is PROVIDENCE HEALTH & SERVICES OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES OREGON's NPI number is 1568547503.
Which doctor has NPI number 1568547503?
The doctor with NPI number 1568547503 is PROVIDENCE HEALTH & SERVICES OREGON.
What is PROVIDENCE HEALTH & SERVICES OREGON's practice address?
PROVIDENCE HEALTH & SERVICES OREGON's practice address is 965 ELLENDALE DR, MEDFORD, OR, 975048215.
Which doctor practices at 965 ELLENDALE DR, MEDFORD, OR, 975048215?
PROVIDENCE HEALTH & SERVICES OREGON practices at 965 ELLENDALE DR, MEDFORD, OR, 975048215.
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) 732-6000.
Who is (541) 732-6000?
(541) 732-6000 is the phone number for PROVIDENCE HEALTH & SERVICES OREGON.
What is PROVIDENCE HEALTH & SERVICES OREGON's specialty?
PROVIDENCE HEALTH & SERVICES OREGON's specialty is Family Medicine Physician.
What type of doctor is PROVIDENCE HEALTH & SERVICES OREGON?
PROVIDENCE HEALTH & SERVICES OREGON is a Family Medicine Physician.
Is PROVIDENCE HEALTH & SERVICES OREGON a Family Medicine?
Yes, PROVIDENCE HEALTH & SERVICES OREGON is a Family Medicine.
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) 732-6000 to inquire about availability.
Is NPI 1568547503 still active?
Yes, NPI 1568547503 is currently active.
Where does PROVIDENCE HEALTH & SERVICES OREGON practice?
PROVIDENCE HEALTH & SERVICES OREGON practices in MEDFORD, OR.