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PROVIDENCE HEALTH & SERVICES OREGON

Organization (NPI-2) Active

Family Medicine

Provider Information

NPI Number
1568547503
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
965 ELLENDALE DR, MEDFORD, OR, 975048215
Phone
(541) 732-6000
Fax
(541) 732-6005

Specialties & Taxonomies

Clinic/Center
Internal Medicine
Clinic/Center, Adolescent and Children Mental Health
Psychiatry & Neurology, Child & Adolescent Psychiatry
Unknown
Family Medicine Primary

All Addresses

MAILING

PO BOX 31001 - 4180

PASADENA, CA, 911104180

(503) 215-6494

LOCATION

965 ELLENDALE DR

MEDFORD, OR, 975048215

(541) 732-6000