Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Community/Retail Pharmacy in Medford, Oregon. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
1111 Crater Lake AveMedford, OR 97504-6241
Phone: (541) 732-5079
Fax: (541) 732-5859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|
Record details
| NPI number | 1518142074 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Health & Services - Oregon |
| Authorized official | Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786 |
| Other names | Providence Medford Medical Center |
| NPI enumerated | January 3, 2008 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | May 27, 2025 |
| Mailing address | Po Box 31001-4199, Pasadena, CA 91110-4199 |
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