Organization · Type 2 NPI

Sisters of Providence In Oregon

Clinic/Center · Medford, OR

NPI number 1568689701 Active

Practice location

940 Royal Ave, Suite 450
Medford, OR 97504-6193

Call (541) 732-7850 Map

Mailing address

PO Box 3319
Medford, OR 97502-0012

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

24 other providers at this address

Other clinic/center providers in Medford

See all in Medford →

NPI record

NPI: 1568689701
Entity type: Organization (Type 2)
Issued: Apr 19, 2007
Last updated: Nov 19, 2025
Status: Active
Subpart: Yes of Sisters of Providence In Oregon

Other names

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PMG South Cardiovascular Surgery · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary Enrollments
(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 1568689701

Sisters of Providence In Oregon's National Provider Identifier is 1568689701, issued on Apr 19, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Medford, OR. The record was last updated on Nov 19, 2025.