1093894511 PROVIDENCE HEALTH & SERVICES OREGON

Hospitalist Physician

Active

Basic Information

Organization Name
PROVIDENCE HEALTH & SERVICES OREGON
Enumeration Date
November 3, 2006
Last Update
May 12, 2025
Authorized Official
DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY ENROLLMENT
Phone: (425) 358-9786

Practice Location

Address
1698 E MCANDREWS RD
SUITE 160
MEDFORD, OR 975045589
Phone
(541) 732-7874
Fax
(541) 732-7875

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
Hospitalist Physician
 208M00000X Hospitalist N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
022869 05 OR N/A
CG6801 01 OR RAIL ROAD MEDIARE

Frequently Asked Questions

What is PROVIDENCE HEALTH & SERVICES OREGON's NPI number?
PROVIDENCE HEALTH & SERVICES OREGON's NPI number is 1093894511.
Which doctor has NPI number 1093894511?
The doctor with NPI number 1093894511 is PROVIDENCE HEALTH & SERVICES OREGON.
What is PROVIDENCE HEALTH & SERVICES OREGON's practice address?
PROVIDENCE HEALTH & SERVICES OREGON's practice address is 1698 E MCANDREWS RD, SUITE 160, MEDFORD, OR, 975045589.
Which doctor practices at 1698 E MCANDREWS RD, SUITE 160, MEDFORD, OR, 975045589?
PROVIDENCE HEALTH & SERVICES OREGON practices at 1698 E MCANDREWS RD, SUITE 160, MEDFORD, OR, 975045589.
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) 732-7874.
Who is (541) 732-7874?
(541) 732-7874 is the phone number for PROVIDENCE HEALTH & SERVICES OREGON.
What is PROVIDENCE HEALTH & SERVICES OREGON's specialty?
PROVIDENCE HEALTH & SERVICES OREGON's specialty is Hospitalist Physician.
What type of doctor is PROVIDENCE HEALTH & SERVICES OREGON?
PROVIDENCE HEALTH & SERVICES OREGON is a Hospitalist Physician.
Is PROVIDENCE HEALTH & SERVICES OREGON a Hospitalist?
Yes, PROVIDENCE HEALTH & SERVICES OREGON is a Hospitalist.
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) 732-7874 to inquire about availability.
Is NPI 1093894511 still active?
Yes, NPI 1093894511 is currently active.
Where does PROVIDENCE HEALTH & SERVICES OREGON practice?
PROVIDENCE HEALTH & SERVICES OREGON practices in MEDFORD, OR.