PROVIDENCE HEALTH & SERVICES OREGON

MEDFORD, OR
NPI1518142074
Doing Business AsPROVIDENCE MEDFORD MEDICAL CENTER
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary For Enrollment
425-525-5392
Organization Subpart ?Yes
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date2008-01-03
Last Update Date2022-05-31
Business Address
PROVIDENCE HEALTH & SERVICES OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-5079
Mailing Address
PROVIDENCE HEALTH & SERVICES OREGON
2001 LIND AVE SW ATTN: REIMBURSEMENT/REGULATORY ENROLLMENT
RENTON, WA 98057-3303
Phone number: 907-312-7903