PROVIDENCE HEALTH & SERVICES - OREGON

MEDFORD, OR
NPI1710356001
Doing Business AsPROVIDENCE MEDICAL GROUP SOUTH
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollment
425-358-9786
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2015-09-17
Last Update Date2025-05-12
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
3225 HILLCREST PARK DRIVE
MEDFORD, OR 97504
Phone number: 541-774-5700
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-734-3430