PROVIDENCE HEALTH & SERVICES - OREGON
NPI 1992031595
Family Medicine in Eagle Point, OR

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 02, 2009

1332 S SHASTA AVE, SUITE A, EAGLE POINT, OR 97524(541) 826-8160(541) 826-8197 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 5, 2025, Aug 12, 2020 and 2 more (5 updates tracked since 2015).

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About Providence Health & Services - Oregon NPPES

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

PROVIDENCE HEALTH & SERVICES - OREGON (NPI 1992031595), doing business as Pmg South Eagle Point, is a healthcare organization registered as a family medicine in Eagle Point, Oregon and active in the NPI registry since November 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1992031595

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - OREGON

Location Address1332 S SHASTA AVE, SUITE AEagle Point, OR 97524-8623

Mailing AddressPo Box 31001 - 4180Pasadena, CA 91110-4180 · (541) 826-8160

Phone(541) 826-8160

Fax(541) 826-8197

Organization SubpartYes

Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollment · (425) 358-9786

Enumeration DateNovember 2, 2009

Last NPPES UpdateNovember 19, 20255 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1992031595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

1332 S SHASTA AVE, Eagle Point, OR 97524

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Other Names 2

Doing Business AsPmg South Eagle Point

Doing Business AsProvidence Medical Group South

Other Identifiers 1

Medicaid500617058OR

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

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.

JANICE A LINDSTROM MD

Family Medicine

1332 S SHASTA AVE, SUITE A
EAGLE POINT, OR 97524

Jackson County (541) 826-8160

MRS. CARLA P MOREY PA

Physician Assistant

1332 S SHASTA AVE, SUITE A
EAGLE POINT, OR 97524

Jackson County (541) 826-8160

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 1992031595. It was assigned to this organization in the NPPES registry on November 2, 2009. The provider is doing business as Pmg South Eagle Point and Providence Medical Group South.

Where is Providence Health & Services - Oregon located?

Providence Health & Services - Oregon is located at 1332 S Shasta Ave Suite A, Eagle Point, OR 97524. The listed phone number is (541) 826-8160.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.