Providence Health & Services - Oregon is a Psychiatry | Child & Adolescent Clinic in Eagle Point, Oregon. It is located at 10830 Highway 62, Eagle Point, OR and its contact number is 541-830-4060. The authorized person for Providence Health & Services - Oregon is Mr. Donald W Anderson Jr.
who is Dir Reimb Reg Strat/asst Sec Enroll of the clinic and his/her contact number is 425-525-5392. Providence Health & Services - Oregon Clinic has mental health professionals having additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Clinic Profile:
Providence Health & Services - Oregon Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Health & Services - Oregon
Specialization:
Child & Adolescent
Clinic Address:
10830 Highway 62, Eagle Point, Oregon, 97524-9516
Phone:
541-830-4060
Fax:
541-830-4090
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Donald W Anderson Jr.
Position:
Dir Reimb Reg Strat/asst Sec Enroll
Contact Number:
425-525-5392
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Health & Services - Oregon clinic are as mentioned below.
NPI Number:
1922481456
NPI Enumeration Date:
01 Jul, 2015
NPI Last Update On:
10 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services - Oregon are as mentioned below.
Specialization
License Number
State
Status
Clinic/center
Primary
Child & Adolescent Psychiatry
Secondary
Adolescent and Children Mental Health
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500688628
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Health & Services - Oregon Po Box 3158, Portland, Oregon
Zip:
97208-3158
Phone Number:
541-830-4060
Fax Number:
541-830-4090
Patients can reach Providence Health & Services - Oregon at 10830 Highway 62, Eagle Point, Oregon or can call to book an appointment on 541-830-4060. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.