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 Endocrinology, Diabetes & Metabolism Physician · NPI 1982146064

Providence Health & Services Oregon is an Endocrinology, Diabetes & Metabolism Physician in Medford, Oregon. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1698 E McAndrews Rd Ste 400
Medford, OR 97504-5590
Phone: (541) 732-8500
Fax: (541) 732-8501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1982146064
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollments · (425) 358-9786
Other names Pmg Gastroenterology; Pmg Gastroenterology; Providence Medical Group South
NPI enumeratedNovember 7, 2016
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

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