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

Providence Health & Services - Oregon

Organization Clinic/Center · NPI 1093976243

Providence Health & Services - Oregon is a Clinic/Center in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008

Practice location Address checks out

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone: (541) 732-5250
Fax: (541) 732-5251
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X (OR)

Record details

NPI number1093976243
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Oregon
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medford Medical Center; Providence Palliative Care South
NPI enumeratedJune 20, 2008
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing addressPo Box 31001-4199, Pasadena, CA 91110-4199

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