Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Child & Adolescent Psychiatry Physician in Eagle Point, Oregon. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
10830 Highway 62Eagle Point, OR 97524-9516
Phone: (541) 830-4060
Fax: (541) 830-4090
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
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1922481456 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786 |
| Other names | Pmg Eagle Point Pediatrics; Pmg Eagle Point Pediatrics |
| NPI enumerated | July 1, 2015 |
| Last updated in NPPES | November 19, 2025 |
| Certification date | November 19, 2025 |
| Mailing address | Po Box 3158, Portland, OR 97208-3158 |