1689755670 PROVIDENCE HEALTH & SERVICES - OREGON
General Acute Care Hospital
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH & SERVICES - OREGON
- Enumeration Date
- October 18, 2006
- Last Update
- May 27, 2025
- Authorized Official
- DONALD W ANDERSON JR.
ASSISTANT SECRETARY ENROLLMENTS
Phone: (425) 358-9786
Practice Location
- Address
- 1111 CRATER LAKE AVE
MEDFORD, OR 975046241 - Phone
- (503) 451-3000
- Fax
- (503) 215-0290
Mailing Address
- Address
- PO BOX 31001-4199
PASADENA, CA 911104199 - Phone
- (503) 451-3000
- Fax
- (503) 215-0290
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Anesthesiology | N/A | N/A | No |
| Emergency Medicine Physician | 207P00000X | Emergency Medicine | N/A | N/A | No |
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Nuclear Medicine Physician | 207U00000X | Nuclear Medicine | N/A | N/A | No |
| Obstetrics & Gynecology Physician | 207V00000X | Obstetrics & Gynecology | N/A | N/A | No |
| Anatomic Pathology & Clinical Pathology Physician Anatomic Pathology & Clinical Pathology | 207ZP0102X | Pathology | N/A | N/A | No |
| General Acute Care Hospital | 282N00000X | General Acute Care Hospital | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0000ZGBJC | 01 | OR | MEDICARE PART B |
| 194077900 | 01 | OR | US DEPT OF LABOR WC |
| 24861 | 01 | OR | WA DEPT OF LABOR |
| C45121 | 01 | OR | RAILROAD MEDICARE |
| 3030202 | 01 | OR | WASHINGTON MEDICAID |
Frequently Asked Questions
What is PROVIDENCE HEALTH & SERVICES - OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES - OREGON's NPI number is 1689755670.
Which doctor has NPI number 1689755670?
The doctor with NPI number 1689755670 is PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's practice address?
PROVIDENCE HEALTH & SERVICES - OREGON's practice address is 1111 CRATER LAKE AVE, MEDFORD, OR, 975046241.
Which doctor practices at 1111 CRATER LAKE AVE, MEDFORD, OR, 975046241?
PROVIDENCE HEALTH & SERVICES - OREGON practices at 1111 CRATER LAKE AVE, MEDFORD, OR, 975046241.
What is PROVIDENCE HEALTH & SERVICES - OREGON's mailing address?
PROVIDENCE HEALTH & SERVICES - OREGON's mailing address is PO BOX 31001-4199, PASADENA, CA, 911104199.
What is PROVIDENCE HEALTH & SERVICES - OREGON's phone number?
PROVIDENCE HEALTH & SERVICES - OREGON's phone number is (503) 451-3000.
Who is (503) 451-3000?
(503) 451-3000 is the phone number for PROVIDENCE HEALTH & SERVICES - OREGON.
What is PROVIDENCE HEALTH & SERVICES - OREGON's specialty?
PROVIDENCE HEALTH & SERVICES - OREGON's specialty is General Acute Care Hospital.
What type of doctor is PROVIDENCE HEALTH & SERVICES - OREGON?
PROVIDENCE HEALTH & SERVICES - OREGON is a General Acute Care Hospital.
Is PROVIDENCE HEALTH & SERVICES - OREGON a General Acute Care Hospital?
Yes, PROVIDENCE HEALTH & SERVICES - OREGON is a General Acute Care Hospital.
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 (503) 451-3000 to inquire about availability.
Is NPI 1689755670 still active?
Yes, NPI 1689755670 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - OREGON practice?
PROVIDENCE HEALTH & SERVICES - OREGON practices in MEDFORD, OR.