Organization · Type 2 NPI

Providence Health & Services Oregon

Family Medicine Physician · Medford, OR

NPI number 1386713972 Active

Practice location

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

Call (541) 732-7950 Map

Fax (541) 732-7901

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

35 other providers at this address

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NPI record

NPI: 1386713972
Entity type: Organization (Type 2)
Issued: Nov 7, 2006
Last updated: Nov 19, 2025
Status: Active

Other names

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PMG South Medford Family Practice · doing business as
PMG South Medford Family Practice · doing business as
Providence Medical Group South · doing business as

Authorized official

Donald Wayne 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.

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About NPI 1386713972

Providence Health & Services Oregon's National Provider Identifier is 1386713972, issued on Nov 7, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Medford, OR. The record was last updated on Nov 19, 2025.