Organization · Type 2 NPI

Providence Health & Services - Oregon

Vascular Surgery Physician · Medford, OR

NPI number 1750460283 Active

Practice location

940 Royal Ave, Suite 420
Medford, OR 97504-6193

Call (541) 732-8388 Map

Fax (541) 732-8387

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed
Clinic/Center 261Q00000XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

24 other providers at this address

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About NPI 1750460283

Providence Health & Services - Oregon's National Provider Identifier is 1750460283, issued on Nov 3, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Medford, OR. The record was last updated on Nov 19, 2025.