OrganizationActive
Providence Health & Services - Oregon
NPI 1447799523 · Internal Medicine Physician · Medford, OR
Provider details
- NPI number
- 1447799523
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Providence Health & Services - Oregon
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
1698 E Mcandrews Rd Ste 160
Medford, OR 97504-5590
Phone: (541) 732-6070
Fax: (541) 732-6005
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
Registry dates
- Enumerated
- 2017-02-22
- 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.