Providence Health & Services - Oregon
NPI 1255753380 · Physical Medicine & Rehabilitation Physician · Grants Pass, OR
Providence Health & Services - Oregon is a Physical Medicine & Rehabilitation Physician organization in Grants Pass, OR (NPI 1255753380).
Provider details
- NPI number
- 1255753380
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Medical Group South
Registry dates
- Enumerated
- 2014-01-08
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Providence Health & Services - Oregon's NPI number?
- Providence Health & Services - Oregon's National Provider Identifier (NPI) is 1255753380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Services - Oregon?
- Providence Health & Services - Oregon is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health & Services - Oregon located?
- Providence Health & Services - Oregon's practice location on file with NPPES is 1619 Nw Hawthorne Ave, Grants Pass, OR 97526-6008.
- What is Providence Health & Services - Oregon's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Services - Oregon is (541) 732-7850.
- Who is the authorized official for Providence Health & Services - Oregon?
- The authorized official listed on Providence Health & Services - Oregon's NPPES record is Donald Anderson, Assistant Secretary Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health & Services - Oregon's NPI active?
- Yes — Providence Health & Services - Oregon's NPI (1255753380) is active in the NPPES registry as of the last update on 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.