Organization · Type 2 NPI

Providence Health & Services - Oregon

Multi-Specialty Clinic/Center · Ashland, OR

NPI number 1174969778 Active

Practice location

1661 Highway 99 N, Building A, Suite 100
Ashland, OR 97520-8900

Call (541) 732-8300 Map

Fax (541) 732-8301

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

4 other providers at this address

Providence Health & Services - OregonInternal Medicine Physician Ashland, OR NPI 1770913295
Justin Theo Johnson, D.P.M.Foot & Ankle Surgery Podiatrist Ashland, OR NPI 1336328624
Karin B. Kuhl, MDInternal Medicine Physician Ashland, OR NPI 1689722795
Molly McCormick Gramley, MDInternal Medicine Physician Ashland, OR NPI 1710091715

NPI record

NPI: 1174969778
Entity type: Organization (Type 2)
Issued: May 22, 2013
Last updated: Nov 19, 2025
Status: Active

Other names

<unavail>
PMG Ashland · doing business as
PMG Ashland · doing business as
Providence Medical Group South · doing business as

Authorized official

Donald W Anderson
Assistant Secretary Enrollment
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1174969778

Providence Health & Services - Oregon's National Provider Identifier is 1174969778, issued on May 22, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Ashland, OR. The record was last updated on Nov 19, 2025.