Organization · Type 2 NPI
Providence Health & Services - Oregon
Clinic/Center · Eagle Point, OR
NPI number
1922481456
Active
Practice location
10830 Highway 62
Eagle Point, OR 97524-9516
Fax (541) 830-4090
Mailing address
PO Box 3158
Portland, OR 97208-3158
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 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).
Other clinic/center providers in Eagle Point
About NPI 1922481456
Providence Health & Services - Oregon's National Provider Identifier is 1922481456, issued on Jul 1, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Eagle Point, OR. The record was last updated on Nov 19, 2025.