PROVIDENCE HEALTH & SERVICES OREGON

MEDFORD, OR
NPI1982146064
Doing Business AsPMG GASTROENTEROLOGY
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Asst Corp Secretary For Enrollment
425-525-5392
Organization Subpart ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
Additional Taxonomies261Q00000X Clinic/Center
Enumeration Date2016-11-07
Last Update Date2019-05-13
Business Address
PROVIDENCE HEALTH & SERVICES OREGON
1698 E MCANDREWS RD STE 400
MEDFORD, OR 97504-5590
Phone number: 541-732-8500
Mailing Address
PROVIDENCE HEALTH & SERVICES OREGON
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-732-8500