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PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1447799523
Internal Medicine in Medford, OR

Active since February 22, 2017
1698 E MCANDREWS RD STE 160, MEDFORD, OR 97504(541) 732-6070(541) 732-6005 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, May 12, 2025, Oct 5, 2023 and 3 more (6 updates tracked since 2017).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1447799523), doing business as Providence Medical Group South, is a healthcare organization registered as an internal medicine in Medford, Oregon and active in the NPI registry since February 2017. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1447799523
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address1698 E MCANDREWS RD STE 160Medford, OR 97504-5590
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (425) 358-9786
Phone(541) 732-6070
Fax(541) 732-6005
Organization SubpartYes
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateFebruary 22, 2017
Last NPPES UpdateNovember 19, 20256 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1447799523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/CenterTaxonomy 261Q00000X
1698 E MCANDREWS RD STE 160, Medford, OR 97504
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Other Names 1

Doing Business AsProvidence Medical Group South

Other Providers at the Same Location NPPES 3

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

MR. CHRISTOPHER BRICE BOUFFARD PA-C
Physician Assistant (Surgical)
1698 E MCANDREWS RD STE 160
MEDFORD, OR 97504
Jackson County (541) 732-7874
ASHLEY A FERREIRA DNP
Nurse Practitioner (Family)
1698 E MCANDREWS RD STE 160
MEDFORD, OR 97504
Jackson County (541) 732-8500
MS. ELISA FUMI AKAGI FUKUSHIMA M.D.
Internal Medicine
1698 E MCANDREWS RD STE 160
MEDFORD, OR 97504
Jackson County (541) 732-6070

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 1447799523. It was assigned to this organization in the NPPES registry on February 22, 2017. The provider is doing business as Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1698 E Mcandrews Rd Ste 160, Medford, OR 97504. The listed phone number is (541) 732-6070.

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

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

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.