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Providence Health & Services Oregon
Child & Adolescent Psychiatry Physician in Medford, Oregon
NPI 1386713972

Providence Health & Services Oregon is a Child & Adolescent Psychiatry Physician based in Portland, OR and is specialized in Child & Adolescent Psychiatry. Providence Health & Services Oregon practices in Medford, OR. The NPI Number for Providence Health & Services Oregon is 1386713972 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services Oregon is 1698 E Mcandrews Rd, Medford, OR and can be reached out via phone at 541-732-7950 and via fax at 541-732-7901. You can also correspond with Providence Health & Services Oregon through the mailing address at PO BOX 3158, PORTLAND, OR - 97208-3158 (mailing address contact number: ).

Location: 1698 E Mcandrews Rd, Medford, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386713972
Provider Name
Providence Health & Services Oregon
Credential
Provider Entity Type
Organization
Address
1698 E Mcandrews Rd, Medford, OR, 97208-3158
Phone Number
541-732-7950
Fax Number
541-732-7901
Provider Enumeration Date
11/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
288499 05 OR
CG6801 01 OR RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1698 E Mcandrews Rd
City
Medford
State
Oregon
Zip
97504-5589
Phone Number
541-732-7950
Fax Number
541-732-7901
person
Provider Business Mailing Address Details
Address
Po Box 3158
City
Portland
State
Oregon
Zip
97208-3158
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
()
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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