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PROVIDENCE HEALTH & SERVICES OREGON
NPI 1568547503
Family Medicine in Medford, OR

Active since October 26, 2006
965 ELLENDALE DR, MEDFORD, OR 97504(541) 732-6000(541) 732-6005 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, Feb 14, 2022 and 2 more (5 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 1568547503), 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 October 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1568547503
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES OREGON
Location Address965 ELLENDALE DRMedford, OR 97504-8215
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (503) 215-6494
Phone(541) 732-6000
Fax(541) 732-6005
Organization SubpartYesParent: Providence Health & Services Oregon
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateOctober 26, 2006
Last NPPES UpdateNovember 19, 20255 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1568547503 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 ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
965 ELLENDALE DR, Medford, OR 97504
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Other Names 1

Doing Business AsProvidence Medical Group South

Other Identifiers 2

Medicaid288515OR
OtherCG6801OR · Railroad Medicare

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 20

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

DR. ALAN J. WEBB M.D.
Orthopaedic Surgery
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3430
TERRACE R MUCHA M.D.
Family Medicine
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3430
DR. JUDY A HARDAGE M.D.
Family Medicine
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3434
DIANA L BOWMAN PA-C
Physician Assistant
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3434
GEORGE W MOLZEN MD
Family Medicine
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3434
GARETT S CLAYTON PT
Physical Therapist
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 732-6000
TANYA M HAIGHT OT
Occupational Therapist
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3450
LINDSEY A PATTERSON RD
Dietitian, Registered
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 732-6000

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 1568547503. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Providence Medical Group South.

Where is Providence Health & Services Oregon located?

Providence Health & Services Oregon is located at 965 Ellendale Dr, Medford, OR 97504. The listed phone number is (541) 732-6000.

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 with the weekly NPPES data releases published by CMS.