| Providence Health & Services - Oregon | |
|
1619 Nw Hawthorne Ave Suite 206 Grants Pass OR 97526-6008 | |
| (541) 732-7850 | |
| Not Available |
| Full Name | Providence Health & Services - Oregon |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1619 Nw Hawthorne Ave, Grants Pass, 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) 732-7850 | Providence Health & Services - Oregon 1619 Nw Hawthorne Ave Suite 206 Grants Pass OR 97526-6008 Ph: (541) 732-7850 |
| NPI Number | 1255753380 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 11/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255753380 | NPI | - | NPPES |
| 500668065 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Peter Shelby Bogard Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Sw Ramsey, Suite 104, Grants Pass, OR 97527 Phone: 541-471-4930 Fax: 541-471-1331 | |
James Lee Calvert M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Nw Bunnell Ave, Grants Pass, OR 97526 Phone: 541-479-4111 Fax: 541-955-1621 | |
Grants Pass Chiropractic Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1103 Ne 7th St, Grants Pass, OR 97526 Phone: 541-479-1982 Fax: 541-479-0621 | |
Kurt A Brewster Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Ne 6th Street, Grants Pass, OR 97526 Phone: 541-474-1020 Fax: 541-474-1108 | |
Mountainview Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 741 Ne 6th St, Grants Pass, OR 97526 Phone: 541-471-2701 Fax: 541-471-1166 | |
Brian Hancock Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Ne 7th St, Grants Pass, OR 97526 Phone: 541-474-2721 Fax: 541-474-0056 | |
Karen Joyce Hoskins Msn/fnp Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Ne 7th St Ste C, Grants Pass, OR 97526 Phone: 541-476-7000 Fax: 541-476-7000 |