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

Providence Health & Services - Oregon

Organization Anesthesiology Physician · NPI 1285185942

Providence Health & Services - Oregon is an Anesthesiology Physician in Medford, Oregon. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
6

Practice location Address checks out

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone: (541) 732-5000
Show map & directions

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

Specialties & licences

Clinical Pathology Physician (primary) Taxonomy 207ZC0006X
Anesthesiology Physician Taxonomy 207L00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Body Imaging Physician Taxonomy 2085B0100X

Record details

NPI number1285185942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Providence Medford Medical Center
NPI enumeratedOctober 18, 2016
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing addressPo Box 31001-4199, Pasadena, CA 91110-4199

Other providers in Medford