Organization · Type 2 NPI

Providence Health & Services - Oregon

Clinic/Center · Medford, OR

NPI number 1063963106 Active

Practice location

1698 E Mcandrews Rd, Ste 300
Medford, OR 97504-5589

Call (541) 732-7850 Map

Fax (541) 732-7851

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

35 other providers at this address

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About NPI 1063963106

Providence Health & Services - Oregon's National Provider Identifier is 1063963106, issued on Oct 24, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Medford, OR. The record was last updated on Oct 24, 2016.