| Providence Health & Services Oregon | |
|
1698 E Mcandrews Rd Suite 160 Medford OR 97504-5589 | |
| (541) 732-7874 | |
| (541) 732-7875 |
| Full Name | Providence Health & Services Oregon |
|---|---|
| Speciality | Hospitalist |
| Location | 1698 E Mcandrews 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: (503) 215-6494 | Providence Health & Services Oregon 1698 E Mcandrews Rd Suite 160 Medford OR 97504-5589 Ph: (541) 732-7874 |
| NPI Number | 1093894511 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 11/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093894511 | NPI | - | NPPES |
| 022869 | Medicaid | OR | |
| CG6801 | Other | OR | RAIL ROAD MEDIARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
University Professional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 503-494-9000 | |
Rogue Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St, Medford, OR 97504 Phone: 541-842-7705 Fax: 541-842-7640 | |
Columbiacare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Juanipero Way, Medford, OR 97504 Phone: 541-858-8170 Fax: 541-858-8167 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Royal Ave, Medford, OR 97504 Phone: 541-732-8400 Fax: 541-732-8401 | |
Providence Health & Services - Oregon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 E Mcandrews Rd, Ste 300, Medford, OR 97504 Phone: 541-732-7850 Fax: 541-732-7851 | |
Complete Integrative Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3156 State St, Medford, OR 97504 Phone: 541-773-5772 Fax: 541-773-1113 | |
La Clinica Del Valle Family Health Care Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 638 Market St, Medford, OR 97504 Phone: 541-494-3840 Fax: 541-494-1789 |