Organization · Type 2 NPI
Providence Medford Medical Center
Emergency Care Clinic/Center · Medford, OR
NPI number
1013944776
Active
Practice location
1111 Crater Lake Avenue
Medford, OR 97504-6214
Fax (541) 732-5131
Mailing address
P.o. Box 3308
Portland, OR 97208-3308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Care Clinic/Center Primary | 261QE0002X | None listed |
| General Acute Care Hospital | 282N00000X | 140734 (OR) |
Emergency Care Clinic/Center: Definition to come...
Other emergency care clinic/center providers in Medford
About NPI 1013944776
Providence Medford Medical Center's National Provider Identifier is 1013944776, issued on Jun 27, 2006. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Medford, OR. The record was last updated on May 7, 2025.