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1710356001
PROVIDENCE HEALTH & SERVICES - OREGON
MEDFORD, OR
NPI
1710356001
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Entity Type
Organization
Authorized Contact
DONALD WAYNE ANDERSON
Asst Secretary For Enrollment
425-525-5392
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2015-09-17
Last Update Date
2018-02-28
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
3225 HILLCREST PARK DRIVE
MEDFORD, OR 97504
Phone number: 541-774-5700
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Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-734-3430
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