Organization · Type 2 NPI

Providence Health & Services Oregon

Community Based Hospice Care Agency · Medford, OR

NPI number 1952495772 Active

Practice location

2033 Commerce Dr
Medford, OR 97504-9744

Call (541) 732-6500 Map

Mailing address

4400 NE Halsey St, Building 1, Ste 129
Portland, OR 97213-1545

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

4 other providers at this address

CP Medford Or Hh, LLCHome Health Agency Medford, OR NPI 1902628076
CP Medford Or Hospice, LLCCommunity Based Hospice Care Agency Medford, OR NPI 1750103883
Providence Health & Services OregonHome Health Agency Medford, OR NPI 1487746491
Jeffrey Karl McCamman, MPTPhysical Therapist Medford, OR NPI 1760340293

Other community based hospice care agency providers in Medford

See all in Medford →

NPI record

NPI: 1952495772
Entity type: Organization (Type 2)
Issued: Oct 3, 2006
Last updated: May 16, 2025
Status: Active

Other names

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Prov Health Sys-Or Shared-Svs Div · doing business as
Prov Health Sys-Or Shared-Svs Div · doing business as

Authorized official

Donald Wayne 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.

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About NPI 1952495772

Providence Health & Services Oregon's National Provider Identifier is 1952495772, issued on Oct 3, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Medford, OR. The record was last updated on May 16, 2025.