Organization · Type 2 NPI

Providence Health & Services - Oregon

Family Medicine Physician · Medford, OR

NPI number 1437469087 Active

Practice location

827 Spring St
Medford, OR 97504-6104

Call (541) 732-7600 Map

Fax (541) 732-7601

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Clinic/Center	261Q00000X	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.

10 other providers at this address

Other family medicine physician providers in Medford

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NPI record

NPI: 1437469087
Entity type: Organization (Type 2)
Issued: Oct 18, 2010
Last updated: Nov 19, 2025
Status: Active
Subpart: Yes of Providence Health & Services - Oregon

Other names

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

Authorized official

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

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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 1437469087

Providence Health & Services - Oregon's National Provider Identifier is 1437469087, issued on Oct 18, 2010. 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.