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

Organization Family Medicine Physician · NPI 1437469087

Providence Health & Services - Oregon is a Family Medicine Physician in Medford, Oregon. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
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Practice location Address checks out

827 Spring St
Medford, OR 97504-6104
Phone: (541) 732-7600
Fax: (541) 732-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1437469087
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvidence Health & Services - Oregon
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Pmg South Pulmonology; Pmg South Pulmonology; Providence Medical Group South
NPI enumeratedOctober 18, 2010
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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