PROVIDENCE HEALTH & SERVICES - OREGON - NPI 1063705887

Q: What is Providence Health & Services - Oregon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Providence Health & Services - Oregon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1063705887), doing business as Pmg Medford Physiatry, is a healthcare organization registered as an internal medicine in Medford, Oregon and active in the NPI registry since May 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1063705887

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address920 ROYAL AVEMedford, OR 97504-6169

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494

Phone(541) 732-8400

Fax(541) 732-8401

Organization SubpartYes

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateMay 26, 2011

Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1063705887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

920 ROYAL AVE, Medford, OR 97504

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Other Names 3

Doing Business AsPmg Medford Physiatry

Doing Business AsPmg South Medford Neurology

Doing Business AsProvidence Medical Group South

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL STEVEN NARUS DO

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)