PROVIDENCE HEALTH & SERVICES OREGON; NPI #1952495772

Contact Information

PROVIDENCE HEALTH & SERVICES OREGON

2033 COMMERCE DR
MEDFORD, OR 97504-9744

Phone: 541-732-6500
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

Edit contact information

NPI Profile & details for PROVIDENCE HEALTH & SERVICES OREGON

NPI Number 1952495772

LBN Legal business name PROVIDENCE HEALTH & SERVICES OREGON

Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY ENROLLMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/03/2006

Last updated 05/16/2025 - More than a year ago

Identifiers

OR	Medicaid	132204
OR	Other	026699000	BLUE CROSS FFS
OR	Other	084013000	BLUE CROSS HOSPICE PD
OR	Other	930386912-03	ODS
OR	Other	303804000001	PHP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for PROVIDENCE HEALTH & SERVICES OREGON

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for PROVIDENCE HEALTH & SERVICES OREGON
Be the first to post a comment or review.

Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Agencies

JOSEPH LEYKAM CONSULTING LLC
8058 NE BARBERRY DR
ADAIR VILLAGE, OR

VICTORIA LIEDERBAUER
WESTERN UNIVERSITY OF HEALTH SCIENCES COMP-NORTHWEST
200 MULLINS DRIVE, OR

JENNA BROADHURST, SLP
OREGON VETERANS HOME
600 N 5TH ST, OR

STARGAZER THERAPY LLC
7256 SE DOT ST
ADAIR VILLAGE, OR

REEM MOUNTASER
9855 SW CAPITOL HWY
97219, OR

View all Agencies

PROVIDENCE HEALTH & SERVICES OREGON

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for PROVIDENCE HEALTH & SERVICES OREGON

Reviews for PROVIDENCE HEALTH & SERVICES OREGON