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Providence Health & Services - Oregon
Clinic/Center in Medford, Oregon
NPI 1750460283

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 1750460283 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 940 Royal Ave, Medford, OR and can be reached out via phone at 541-732-8388 and via fax at 541-732-8387.

Location: 940 Royal Ave, Medford, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750460283
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
940 Royal Ave, Medford, OR, 97208-3158
Phone Number
541-732-8388
Fax Number
541-732-8387
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
213241 05 OR
CG6801 01 OR RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
940 Royal Ave
City
Medford
State
Oregon
Zip
97504-6193
Phone Number
541-732-8388
Fax Number
541-732-8387
person
Provider Business Mailing Address Details
Address
940 Royal Ave
City
Medford
State
Oregon
Zip
97504-6193
Phone Number
541-732-8388
Fax Number
541-732-8387
person
Provider's Taxonomy Details 1
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).
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