Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Providence Health & Services - Oregon

Organization Hospitalist Physician · NPI 1154675411

Providence Health & Services - Oregon provides Hospitalist Physician services in Medford, Oregon. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone: (541) 732-5545
Fax: (541) 732-5548
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X

Record details

NPI number1154675411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
Other names Providence Medical Group South; Providence Medical Group - Medford Hospitalists
NPI enumeratedNovember 7, 2012
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 31001 - 4180, Pasadena, CA 91110-4180

Other providers in Medford