| Providence Health & Services - Oregon | |
|
707 Murphy Rd Medford OR 97504-8425 | |
| (541) 734-3430 | |
| Not Available |
| Full Name | Providence Health & Services - Oregon |
|---|---|
| Speciality | Surgery |
| Location | 707 Murphy Rd, Medford, Oregon |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY ENROLLMENT) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services - Oregon Po Box 31001 - 4180 Pasadena CA 91110-4180 Ph: (541) 734-3430 | Providence Health & Services - Oregon 707 Murphy Rd Medford OR 97504-8425 Ph: (541) 734-3430 |
| NPI Number | 1114396082 |
|---|---|
| Provider Enumeration Date | 09/21/2015 |
| Last Update Date | 11/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114396082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
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