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Providence Health & Services Oregon
Adolescent and Children Mental Health Clinic/Center in Medford, Oregon
NPI 1568547503

Providence Health & Services Oregon is an Adolescent and Children Mental Health Clinic/Center based in Portland, OR and is specialized in Adolescent and Children Mental Health. Providence Health & Services Oregon practices in Medford, OR. The NPI Number for Providence Health & Services Oregon is 1568547503 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services Oregon is 965 Ellendale Dr, Medford, OR and can be reached out via phone at 541-732-6000 and via fax at 541-732-6005. 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: 503-215-6494).

Location: 965 Ellendale Dr, Medford, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568547503
Provider Name
Providence Health & Services Oregon
Credential
Provider Entity Type
Organization
Address
965 Ellendale Dr, Medford, OR, 97208-3158
Phone Number
541-732-6000
Fax Number
541-732-6005
Provider Enumeration Date
10/26/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
288515 05 OR
CG6801 01 OR RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
965 Ellendale Dr
City
Medford
State
Oregon
Zip
97504-8215
Phone Number
541-732-6000
Fax Number
541-732-6005
person
Provider Business Mailing Address Details
Address
Po Box 3158
City
Portland
State
Oregon
Zip
97208-3158
Phone Number
503-215-6494
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
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 3
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.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Geriatric Psychiatry
Taxonomy
2084P0805X
License No.
()
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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