PROVIDENCE HEALTH & SERVICES - OREGON

MEDFORD, OR
NPI1558430314
Doing Business AsPMG SOUTH DIABETES EDUCATION
Entity TypeOrganization
Authorized ContactJOHN W JACKSON
Chief Executive Officer
541-732-6000
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2006-11-07
Last Update Date2012-12-04
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
1698 E MCANDREWS RD SUITE 170
MEDFORD, OR 97504-5589
Phone number: 541-732-6957
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494