Organization · Type 2 NPI

Providence Health & Services Oregon

Endocrinology, Diabetes & Metabolism Physician · Medford, OR

NPI number 1982146064 Active

Practice location

1698 E Mcandrews Rd Ste 400
Medford, OR 97504-5590

Call (541) 732-8500 Map

Fax (541) 732-8501

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

Taxonomy	Code	License
Endocrinology, Diabetes & Metabolism Physician Primary	207RE0101X	None listed
Clinic/Center	261Q00000X	None listed

Endocrinology, Diabetes & Metabolism Physician: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

11 other providers at this address

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NPI record

NPI: 1982146064
Entity type: Organization (Type 2)
Issued: Nov 7, 2016
Last updated: Nov 19, 2025
Status: Active

Other names

<unavail>
PMG Gastroenterology · doing business as
PMG Gastroenterology · doing business as
Providence Medical Group South · 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 1982146064

Providence Health & Services Oregon's National Provider Identifier is 1982146064, issued on Nov 7, 2016. The primary taxonomy on file is Endocrinology, Diabetes & Metabolism Physician (207RE0101X), and the practice location is in Medford, OR. The record was last updated on Nov 19, 2025.