institution
Providence Health & Services Oregon
Community Based Hospice Care Agency in Medford, Oregon
NPI 1952495772

Providence Health & Services Oregon is a Community Based Hospice Care Agency based in Portland, OR. Providence Health & Services Oregon practices in Medford, OR. The NPI Number for Providence Health & Services Oregon is 1952495772 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services Oregon is 2033 Commerce Dr, Medford, OR and can be reached out via phone at 541-732-6500.

Location: 2033 Commerce Dr, Medford, OR, 97213-1545
institution
Provider Profile Details
NPI Number
1952495772
Provider Name
Providence Health & Services Oregon
Credential
Provider Entity Type
Organization
Address
2033 Commerce Dr, Medford, OR, 97213-1545
Phone Number
541-732-6500
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
026699000 01 OR BLUE CROSS FFS
930386912-03 01 OR ODS
303804000001 01 OR PHP
084013000 01 OR BLUE CROSS HOSPICE PD
132204 05 OR
institution
Provider Business Practice Location Address Details
Address
2033 Commerce Dr
City
State
Zip
97504-9744
Phone Number
541-732-6500
Fax Number
person
Provider Business Mailing Address Details
Address
2033 Commerce Dr
City
State
Zip
97504-9744
Phone Number
541-732-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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