Organization · Type 2 NPI

Providence Health & Services Oregon

Home Health Agency · Medford, OR

NPI number 1487746491 Active

Practice location

2033 Commerce Dr
Medford, OR 97504-9744

Call (541) 732-6500 Map

Fax (541) 732-6504

Mailing address

4400 NE Halsey St, Building 1, Ste 129
Portland, OR 97213-1545

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	13-140734 (OR)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

4 other providers at this address

Other home health agency providers in Medford

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NPI record

NPI: 1487746491
Entity type: Organization (Type 2)
Issued: Sep 28, 2006
Last updated: May 15, 2025
Status: Active

Other names

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Providence Health Sys-Or Shared SVS Div · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary of Enrollments
(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 1487746491

Providence Health & Services Oregon's National Provider Identifier is 1487746491, issued on Sep 28, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Medford, OR. The record was last updated on May 15, 2025.