Providence Health & Services - Oregon
LBN: Providence Health & Services - Oregon
Providence Health & Services - Oregon is an health care organization with primary practice located at 70 Bower Dr , Medford OR 97501-3689. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Providence Health & Services - Oregon can be contacted via phone (541) 734-3430, or through Anderson, Donald Wayne via phone (425) 525-5392.
Contact Information
Primary practice address
70 Bower Dr
Medford OR 97501-3689
Phone: (541) 734-3430
Fax: (541) 734-3638
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ||
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | ||
Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
NPI number | 1346619467 |
---|---|
LBN Legal business name | Providence Health & Services - Oregon |
DBA Doing business as | |
Authorized official | Anderson, Donald Wayne |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 18th, 2015 |
Last updated | Jan 16th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346619467 | NPPES |
Oregon | MEDICAID | 500692938 |
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