PROVIDENCE HEALTH & SERVICES - OREGON

MEDFORD, OR
NPI1750460283
Doing Business AsPMG SOUTH VASCULAR AND GENERAL SURGERY
Doing Business AsPROVIDENCE MEDICAL GROUP SOUTH
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollment
425-358-9786
Organization Subpart ?Yes
Primary Taxonomy2086S0129X 
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2006-11-03
Last Update Date2025-05-12
Business Address
PROVIDENCE HEALTH & SERVICES - OREGON
940 ROYAL AVE SUITE 420
MEDFORD, OR 97504-6193
Phone number: 541-732-8388
Mailing Address
PROVIDENCE HEALTH & SERVICES - OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494