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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1174969778
Clinic/Center - Multi-Specialty in Ashland, OR

Active since May 22, 2013
1661 HIGHWAY 99 N, BUILDING A, SUITE 100, ASHLAND, OR 97520(541) 732-8300(541) 732-8301 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, May 12, 2025, Dec 17, 2020 (3 updates tracked since 2020).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1174969778), doing business as Pmg Ashland, is a healthcare organization registered as a multi-specialty in Ashland, Oregon and active in the NPI registry since May 2013. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1174969778
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1661 HIGHWAY 99 N, BUILDING A, SUITE 100Ashland, OR 97520-8900
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (541) 732-8300 · Fax (541) 732-8301
Phone(541) 732-8300
Fax(541) 732-8301
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateMay 22, 2013
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1174969778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1661 HIGHWAY 99 N, Ashland, OR 97520
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Other Names 2

Doing Business AsPmg Ashland
Doing Business AsProvidence Medical Group South

Other Identifiers 1

Medicaid500661228OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

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

DR. JUSTIN THEO JOHNSON D.P.M.
Podiatrist (Foot & Ankle Surgery)
1661 HIGHWAY 99 N, STE 201
ASHLAND, OR 97520
Jackson County (541) 482-4924
DR. KARIN B KUHL MD
Internal Medicine
1661 HIGHWAY 99 N, BLDG A, STE 100
ASHLAND, OR 97520
Jackson County (541) 732-8300
MRS. MOLLY MCCORMICK GRAMLEY MD
Internal Medicine
1661 HIGHWAY 99 N, BLDG A, STE 100
ASHLAND, OR 97520
Jackson County (541) 732-8300
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
1661 HIGHWAY 99 N, BUILDING A, STE 1100
ASHLAND, OR 97520
Jackson County (541) 732-6264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services - Oregon's NPI number?

The NPI number for Providence Health & Services - Oregon is 1174969778. It was assigned to this organization in the NPPES registry on May 22, 2013. The provider is doing business as PMG Ashland and Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1661 Highway 99 N Building A, Suite 100, Ashland, OR 97520. The listed phone number is (541) 732-8300.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Providence Health & Services - Oregon accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Providence Health & Services - Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Oregon was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.