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Providence Health & Services - Oregon
Clinic/Center in Medford, Oregon
NPI 1710356001

Providence Health & Services - Oregon is a Clinic/Center based in Portland, OR. Providence Health & Services - Oregon practices in Medford, OR. The NPI Number for Providence Health & Services - Oregon is 1710356001 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 3225 Hillcrest Park Drive, Medford, OR and can be reached out via phone at 541-774-5700 and via fax at 541-734-3638.

Location: 3225 Hillcrest Park Drive, Medford, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710356001
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
3225 Hillcrest Park Drive, Medford, OR, 97208-3158
Phone Number
541-774-5700
Fax Number
541-734-3638
Provider Enumeration Date
09/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500692785 05 OR
institution
Provider Business Practice Location Address Details
Address
3225 Hillcrest Park Drive
City
Medford
State
Oregon
Zip
97504
Phone Number
541-774-5700
Fax Number
541-734-3638
person
Provider Business Mailing Address Details
Address
3225 Hillcrest Park Drive
City
Medford
State
Oregon
Zip
97504
Phone Number
541-774-5700
Fax Number
541-734-3638
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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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).
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