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 1710356001

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
2

Practice location Address checks out

3225 Hillcrest Park Dr
Medford, OR 97504
Phone: (541) 774-5700
Fax: (541) 734-3638
Show map & directions

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 number1710356001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group South
NPI enumeratedSeptember 17, 2015
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Medford