Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services Oregon

Organization Hospitalist Physician · NPI 1093894511

Providence Health & Services Oregon is a Hospitalist Physician in Medford, Oregon. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1698 E McAndrews Rd Ste 160
Medford, OR 97504-5589
Phone: (541) 732-7874
Fax: (541) 732-7875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1093894511
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services Oregon
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Pmg South General Surgery; Pmg South General Surgery; Providence Medical Group South
NPI enumeratedNovember 3, 2006
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Medford