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PROVIDENCE HEALTH & SERVICES OREGON
NPI 1386713972
Family Medicine in Medford, OR

Active since November 07, 2006
1698 E MCANDREWS RD, SUITE 300, MEDFORD, OR 97504(541) 732-7950(541) 732-7901 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2025, May 12, 2025, Apr 24, 2019 (3 updates tracked since 2019).

About Providence Health & Services Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES OREGON (NPI 1386713972), doing business as Pmg South Medford Family Practice, is a healthcare organization registered as a family medicine in Medford, Oregon and active in the NPI registry since November 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1386713972
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address1698 E MCANDREWS RD, SUITE 300Medford, OR 97504-5589
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (425) 358-9786
Phone(541) 732-7950
Fax(541) 732-7901
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateNovember 7, 2006
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1386713972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
1698 E MCANDREWS RD, Medford, OR 97504
Open in Google Maps ↗

Other Names 2

Doing Business AsPmg South Medford Family Practice
Doing Business AsProvidence Medical Group South

Other Identifiers 2

Medicaid288499OR
OtherCG6801OR · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

PROVIDENCE HEALTH & SERVICES - OREGON
Clinic/Center
1698 E MCANDREWS RD, STE 300
MEDFORD, OR 97504
Jackson County (541) 732-7850
MR. THONG TIEN BUI MD
Urology
1698 E MCANDREWS RD, STE 280
MEDFORD, OR 97504
Jackson County (541) 204-1699
PROVIDENCE HEALTH & SERVICES OREGON
Hospitalist
1698 E MCANDREWS RD, SUITE 160
MEDFORD, OR 97504
Jackson County (541) 732-7874
DR. JAMES C COOK JR. MD
Internal Medicine (Cardiovascular Disease)
1698 E MCANDREWS RD, SUITE 300
MEDFORD, OR 97504
Jackson County (541) 732-7850
ROGER C OSBORN JR. MD
Internal Medicine (Interventional Cardiology)
1698 E MCANDREWS RD, STE 300
MEDFORD, OR 97504
Jackson County (541) 732-7850
DR. JAMES CAMERON CRUICKSHANK MD
Specialist
1698 E MCANDREWS RD, SUITE 220
MEDFORD, OR 97504
Jackson County (541) 245-5400
MRS. TERESA ANN MARTISAK RN CDE
Registered Nurse (Diabetes Educator)
1698 E MCANDREWS RD, SUITE 170
MEDFORD, OR 97504
Jackson County (541) 732-6957
DR. CHRISTINA HANSEL CELLURA D.O.
Family Medicine (Adult Medicine)
1698 E MCANDREWS RD, SUITE 300
MEDFORD, OR 97504
Jackson County (541) 732-7950

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 1386713972. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Pmg South Medford Family Practice and Providence Medical Group South.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 1698 E Mcandrews Rd Suite 300, Medford, OR 97504. The listed phone number is (541) 732-7950.

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. 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 with the weekly NPPES data releases published by CMS.