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

Providence Health & Services - Oregon

Organization Physical Medicine & Rehabilitation Physician · NPI 1255753380

Providence Health & Services - Oregon is a Physical Medicine & Rehabilitation Physician in Grants Pass, Oregon. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

1619 NW Hawthorne Ave Ste 206
Grants Pass, OR 97526-6008
Phone: (541) 732-7850
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1255753380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group South
NPI enumeratedJanuary 8, 2014
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Grants Pass