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

Providence Health & Services Oregon

Organization Family Medicine Physician · NPI 1386713972

Providence Health & Services Oregon is a Family Medicine Physician in Medford, Oregon. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1698 E McAndrews Rd Ste 300
Medford, OR 97504-5589
Phone: (541) 732-7950
Fax: (541) 732-7901
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1386713972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Pmg South Medford Family Practice; Pmg South Medford Family Practice; Providence Medical Group South
NPI enumeratedNovember 7, 2006
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Medford