Providence Health & Services - Oregon
Psychiatry | Child & Adolescent Clinic
840 Royal Ave, Suite 110, Medford
Oregon, 97504-6461
541-732-8370 541-732-8371
Maps & DirectionsProvidence 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 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: | 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 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: | 1316024128 |
| Parent Organization: | Providence Health & Services - Oregon |
| NPI Enumeration Date: | 01 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 | |
| Child & Adolescent Psychiatry | | | Primary | |
| Clinic/center | | | 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 31001 - 4180,
Pasadena, California |
| Zip: | 91110-4180 |
| Phone Number: | 503-215-6494 |
| Fax Number: | -- |
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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.