Organization · Type 2 NPI

Providence Health & Services Oregon

Durable Medical Equipment & Medical Supplies · Medford, OR

NPI number 1558693291 Active

Practice location

840 Royal Ave, Suite 120
Medford, OR 97504-6461

Call (541) 732-5566 Map

Fax (541) 732-5503

Mailing address

PO Box 5936 B
Portland, OR 97228-5936

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

5 other providers at this address

Other durable medical equipment & medical supplies providers in Medford

See all in Medford →

NPI record

NPI: 1558693291
Entity type: Organization (Type 2)
Issued: Feb 5, 2010
Last updated: May 16, 2025
Status: Active

Other names

<unavail>
Providence Infusion and Home Medical Equipment · doing business as
Providence Infusion and Home Medical Equipment · 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 1558693291

Providence Health & Services Oregon's National Provider Identifier is 1558693291, issued on Feb 5, 2010. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Medford, OR. The record was last updated on May 16, 2025.