Providence Health & Services Oregon
Psychiatry | Child & Adolescent Clinic
1698 E Mcandrews Rd, Suite 300, Medford
Oregon, 97504-5589
541-732-7950 541-732-7901
Maps & DirectionsProvidence Health & Services Oregon is a Psychiatry | Child & Adolescent Clinic in Medford, Oregon. It is located at 1698 E Mcandrews Rd, Suite 300, Medford, OR and its contact number is 541-732-7950. The authorized person for Providence Health & Services Oregon is Donald Wayne Anderson Jr.
who is Assistant Secretary Enrollment of the clinic and his/her contact number is 425-358-9786.
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: | 1698 E Mcandrews Rd, Suite 300, Medford,
Oregon, 97504-5589 |
| Phone: | 541-732-7950 |
| Fax: | 541-732-7901 |
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: | Donald Wayne Anderson Jr. |
| Position: | Assistant Secretary Enrollment |
| Contact Number: | 425-358-9786 |
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: | 1386713972 |
| NPI Enumeration Date: | 07 Nov, 2006 |
| NPI Last Update On: | 19 Nov, 2025 |
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 | |
| Family Medicine | | | Primary | |
| Child & Adolescent Psychiatry | | | 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 |
| 288499 | Medicaid | Oregon | |
| CG6801 | Other | Oregon | Railroad Medicare |
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 31001 - 4180,
Pasadena, California |
| Zip: | 91110-4180 |
| Phone Number: | 425-358-9786 |
| Fax Number: | -- |
Patients can reach Providence Health & Services Oregon at
1698 E Mcandrews Rd, Suite 300, Medford, Oregon or can
call to book an appointment on 541-732-7950.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.