PROVIDENCE HEALTH & SERVICES - OREGON

MEDFORD, OR
NPI1699917781
Doing Business AsPMG SOUTH PHYSIATRY
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Dir Reimb Reg Strat/Asst Sec Enroll
425-525-5392
Organization Subpart ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2009-04-03
Last Update Date2020-07-20
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
827 SPRING ST
MEDFORD, OR 97504-6111
Phone number: 541-732-8360
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-732-8360