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

Providence Health & Services - Oregon

Organization Family Medicine Physician · NPI 1346619467

Providence Health & Services - Oregon is a Family Medicine Physician in Medford, Oregon. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
6
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

70 Bower Dr
Medford, OR 97501-3689
Phone: (541) 734-3430
Fax: (541) 734-3638
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Geriatric Psychiatry Physician Taxonomy 2084P0805X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1346619467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group South
NPI enumeratedSeptember 18, 2015
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Medford