OrganizationActive
Providence Health & Services - Oregon
NPI 1154675411 · Hospitalist Physician · Medford, OR
Provider details
- NPI number
- 1154675411
- Entity type
- Organization
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone: (541) 732-5545
Fax: (541) 732-5548
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31001 - 4180
Pasadena, CA 91110-4180
Other names (DBA / former)
- Doing business as
- Providence Medical Group South
- Doing business as
- Providence Medical Group - Medford Hospitalists
Registry dates
- Enumerated
- 2012-11-07
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.