Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Child & Adolescent Psychiatry Physician in Medford, Oregon. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
840 Royal Ave Ste 110Medford, OR 97504-6461
Phone: (541) 732-8370
Fax: (541) 732-8371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1316024128 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Health & Services - Oregon |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Pmg South Medford Pediatrics; Pmg South Medford Pediatrics; Providence Medical Group South |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | November 19, 2025 |
| Certification date | November 19, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
Other providers in Medford
-
Mr. David A Callanan, MD
1744 E McAndrews Rd Ste B, Medford, OR 97504 · (541) 776-0821
-
Linda Young, MD
140 S Holly St, Medford, OR 97501 · (541) 774-8200