PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1255753380
Physical Medicine & Rehabilitation in Grants Pass, OR

Active since January 08, 2014
1619 NW HAWTHORNE AVE, SUITE 206, GRANTS PASS, OR 97526(541) 732-7850 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, May 12, 2025, Feb 21, 2018 and 1 more (4 updates tracked since 2016).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1255753380), doing business as Providence Medical Group South, is a healthcare organization registered as a physical medicine & rehabilitation in Grants Pass, Oregon and active in the NPI registry since January 2014. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1255753380
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1619 NW HAWTHORNE AVE, SUITE 206Grants Pass, OR 97526-6008
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (541) 732-7850 · Fax (541) 732-7851
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateJanuary 8, 2014
Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1255753380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedClinic/CenterTaxonomy 261Q00000X
1619 NW HAWTHORNE AVE, Grants Pass, OR 97526

Other Names 1

Doing Business AsProvidence Medical Group South

Other Identifiers 1

Medicaid500668065OR

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.

Nurse Practitioner (Adult Health)
1619 NW HAWTHORNE AVE
GRANTS PASS, OR 97526
Specialist
1619 NW HAWTHORNE AVE, SUITE 106
GRANTS PASS, OR 97526
Physical Therapist
1619 NW HAWTHORNE AVE, SUITE 109
GRANTS PASS, OR 97526
Podiatrist
1619 NW HAWTHORNE AVE, SUITE 110
GRANTS PASS, OR 97526
Podiatrist
1619 NW HAWTHORNE AVE, SUITE 110
GRANTS PASS, OR 97526
Clinic/Center (Sleep Disorder Diagnostic)
1619 NW HAWTHORNE AVE, SUITE 204
GRANTS PASS, OR 97526
Nurse Practitioner
1619 NW HAWTHORNE AVE, SUITE201
GRANTS PASS, OR 97526
Occupational Therapist
1619 NW HAWTHORNE AVE, SUITE 109
GRANTS PASS, OR 97526

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 1255753380. It was assigned to this organization in the NPPES registry on January 8, 2014. The provider is doing business as Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1619 NW Hawthorne Ave Suite 206, Grants Pass, OR 97526. The listed phone number is (541) 732-7850.

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

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

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 8 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.