Providence Health & Services - Oregon is a Psychiatry | Child & Adolescent Clinic in Medford, Oregon. This organization is also known as sub part of Providence Health & Services - Oregon. It is located at 840 Royal Ave, Suite 110, Medford, OR and its contact number is 541-732-8370. The authorized person for Providence Health & Services - Oregon is 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:
840 Royal Ave, Suite 110, Medford, Oregon, 97504-6461
Phone:
541-732-8370
Fax:
541-732-8371
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 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:
1316024128
Parent Organization:
Providence Health & Services - Oregon
NPI Enumeration Date:
01 Nov, 2006
NPI Last Update On:
15 Jun, 2021
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
CG6801
Other
Oregon
Rail Road 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 3158, Portland, Oregon
Zip:
97208-3158
Phone Number:
503-215-6494
Fax Number:
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Patients can reach Providence Health & Services - Oregon at 840 Royal Ave, Suite 110, Medford, Oregon or can call to book an appointment on 541-732-8370. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.