PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1710356001
Family Medicine in Medford, OR

Active since September 17, 2015
3225 HILLCREST PARK DRIVE, MEDFORD, OR 97504(541) 774-5700(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, Feb 28, 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 1710356001), 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

NPI1710356001
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address3225 HILLCREST PARK DRIVEMedford, OR 97504
Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (541) 734-3430 · Fax (541) 734-3638
Fax(541) 734-3638
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateSeptember 17, 2015
Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1710356001 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 ListedClinic/CenterTaxonomy 261Q00000X
3225 HILLCREST PARK DRIVE, Medford, OR 97504

Other Names 1

Doing Business AsProvidence Medical Group South

Other Identifiers 1

Medicaid500692785OR

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Internal Medicine
3225 HILLCREST PARK DRIVE
MEDFORD, OR 97504
Psychiatry & Neurology (Neurology)
3225 HILLCREST PARK DRIVE
MEDFORD, OR 97504

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 1710356001. It was assigned to this organization in the NPPES registry on September 17, 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 3225 Hillcrest Park Drive, Medford, OR 97504. The listed phone number is (541) 774-5700.

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 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.