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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1346619467
Family Medicine in Medford, OR

Active since September 18, 2015
70 BOWER DR, MEDFORD, OR 97501(541) 734-3430(541) 734-3638 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, Jan 16, 2020 and 2 more (5 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 1346619467), doing business as Providence Medical Group South, is a healthcare organization registered as a family medicine in Medford, Oregon and active in the NPI registry since September 2015. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1346619467
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address70 BOWER DRMedford, OR 97501-3689
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (541) 734-3430 · Fax (541) 734-3638
Phone(541) 734-3430
Fax(541) 734-3638
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateSeptember 18, 2015
Last NPPES UpdateNovember 19, 20255 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1346619467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X
Also ListedClinic/CenterTaxonomy 261Q00000X
70 BOWER DR, Medford, OR 97501
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Other Names 1

Doing Business AsProvidence Medical Group South

Other Identifiers 1

Medicaid500692938OR

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

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 14

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

JENNIFER L DELTOUR MSN-FNP
Nurse Practitioner (Family)
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
DR. AHREN OTTO GEILENFELDT D.O.
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 732-8360
SHIRLEY ANN MALCOLM DO
Family Medicine
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
SCOTT B ROSS PA-C
Physician Assistant
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
CARRIE LAMBOURNE MS, RDN, CNSC
Dietitian, Registered
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
CARISSA D BRAVO PSYD
Psychologist (Clinical)
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430
DR. AARON D WILLIAMS D.O.
Family Medicine (Sports Medicine)
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 732-8790
UZOMECHINE THABISO CHIEDOZI MD
Family Medicine
70 BOWER DR
MEDFORD, OR 97501
Jackson County (541) 734-3430

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 1346619467. It was assigned to this organization in the NPPES registry on September 18, 2015. The provider is doing business as Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 70 Bower Dr, Medford, OR 97501. The listed phone number is (541) 734-3430.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 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.