Providence Health & Services - Oregon
Providence Health & Services - Oregon is a Family Medicine Physician in Eagle Point, Oregon. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 5
Practice location Address checks out
1332 S Shasta Ave Ste AEagle Point, OR 97524-8623
Phone: (541) 826-8160
Fax: (541) 826-8197
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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 |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X |
| Geriatric Psychiatry Physician | Taxonomy 2084P0805X |
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
Record details
| NPI number | 1992031595 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Providence Health & Services - Oregon |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Pmg South Eagle Point; Pmg South Eagle Point; Providence Medical Group South |
| NPI enumerated | November 2, 2009 |
| Last updated in NPPES | November 19, 2025 |
| Certification date | November 19, 2025 |
| Mailing address | Po Box 31001 - 4180, Pasadena, CA 91110-4180 |
Other providers in Eagle Point
-
Janice A Lindstrom, MD
1332 S Shasta Ave Ste A, Eagle Point, OR 97524-8623 · (541) 826-8160