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

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Clinic/Center Primary 261Q00000XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone 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).

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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.