PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1922481456
Clinic/Center in Eagle Point, OR

Active since July 01, 2015
10830 HIGHWAY 62, EAGLE POINT, OR 97524(541) 830-4060(541) 830-4090 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, Aug 10, 2020 and 2 more (5 updates tracked since 2015).

About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1922481456), doing business as Pmg Eagle Point Pediatrics, is a healthcare organization registered as a clinic/center in Eagle Point, Oregon and active in the NPI registry since July 2015. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1922481456
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON
Location Address10830 HIGHWAY 62Eagle Point, OR 97524-9516
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (541) 830-4060 · Fax (541) 830-4090
Fax(541) 830-4090
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateJuly 1, 2015
Last NPPES UpdateNovember 19, 20255 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1922481456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
10830 HIGHWAY 62, Eagle Point, OR 97524

Other Names 1

Doing Business AsPmg Eagle Point Pediatrics

Other Identifiers 1

Medicaid500688628OR

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

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 1922481456. It was assigned to this organization in the NPPES registry on July 1, 2015. The provider is doing business as PMG Eagle Point Pediatrics.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 10830 Highway 62, Eagle Point, OR 97524. The listed phone number is (541) 830-4060.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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.